低频电刺激治疗卒中后面瘫的疗效观察  

A clinical study of low frequency electric -stimulation on patients with facial palsy after stroke

作　　者：王相明[1] 侯莹[1] 李文[1] 

机构地区：[1]苏州大学附属第二医院神经内科,苏州215004

出　　处：《中国康复医学杂志》2009年第3期233-235,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:观察低频电刺激对卒中后面瘫(FPS)的临床疗效,探索卒中后面瘫的治疗方法。方法:将临床确诊的56例FPS患者随机分为电刺激治疗组(治疗组,36例)和常规对照组(对照组,20例)。2组均给予常规内科治疗,治疗组同时给予低频电刺激治疗。比较2组治疗前、治疗后10d、治疗后1个月面神经功能评分(modified House-Brackmann,MHBN),同时对2组治疗后的临床症状改善率及治疗后3个月的疗效进行比较。结果:2组治疗前MHBN评分差异无显著性意义(P>0.05),治疗后10d、治疗后1个月MHBN评分差异有显著性意义(P<0.05)。经1个疗程治疗后,治疗组患者有效率达80.5%,高于对照组(P<0.05),治疗结束后3个月随访,2组疗效差异有显著性意义(P<0.05)。结论:低频电刺激治疗急性期FPS能明显提高疗效,为FPS患者提供了一种新的治疗方法。Objective：To observe the effects of low frequency electric-stimulation on clinical manifestation in patients with facial palsy after stroke （FPS）. Method：Fifty-six cases of FPS patients were randomly divided into two groups：treatment group （n=36） and control group （n=20）.Both groups received routine internal medicine treatment;in addition, treatment group was treated with low frequency electric-stimulation simultaneously. Facial nerve modified House-Brackmann score （MHBN） and improvement rate of clinical symptoms were observed at 10d and 1 month, 3 months after treatment. Result： At 10d and 1 month after treatment there were statistical differences in MHBN scores in two groups （P〈0.05）. The effective rates were 80.5% and 55% in treatment group and control group respectively （P〈0.05）.In 3 month follow up after treatment, there was statistical difference in recovery rates of two groups （P〈0.05）. Conclusion： Low frequency electric-stimulation could effectively improve effects of patients with FPS as a new treatment method for FPS.

关 键 词：低频电刺激 卒中 面瘫 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]