功能性电刺激联合早期运动疗法对急性脑梗死疗效的影响  

The impact of functional electrical stimulation combined early exercise therapy on the efficacy of acute cerebral infarction

作　　者：林少英[1] 冼文彪[1] 欧紫琳[1] 谢俊[1] 朱许琼[1] 洪华[1] 

机构地区：[1]中山大学附属第一医院神经科,广东广州510080

出　　处：《中国现代医生》2013年第29期39-40,42,共3页China Modern Doctor

摘　　要：目的探讨功能性电刺激联合早期运动疗法对急性脑梗死疗效的影响。方法选取急性脑梗死患者共70例,按照住院号尾数单双号分为观察组和对照组各35例,两组患者均予改善脑循环、脑保护等对症支持治疗,患者神志清楚,生命体征平稳,病情不再发展,48 h后进行运动疗法,观察组同时联合功能性电刺激治疗,每日1次,每次20 min,5 d为一疗程,连续治疗21 d,比较两组患者治疗后的疗效及治疗前后FMA评分及BI的变化情况。结果观察组患者治疗后的FMA评分较对照组升高更显著(P<0.05),观察组患者治疗后的BI较对照组明显升高(P<0.05),观察组治疗后的基本痊愈率达28.6%,总有效率达85.7%,对照组基本痊愈率达22.9%,对照组总有效率68.6%,两组总有效率比较差异具有统计学意义(P<0.05)。结论功能性电刺激联合早期运动疗法可以提高急性脑梗死的临床疗效,且改善患者的肢体运动功能,提高患者的日常生活活动能力,值得推广和应用。Objective To discuss the impact on the effect of functional electrical stimulation combined early exercise therapy in treatment of acute cerebral infarction. Methods Selected 70 cases of acute cerebral infarction were divided into observation group and control group 35 cases, two groups of patients were given improving cerebral circulation, cerebral protection et al symptomatic and supportive treatment,the patient conscious, with stable vital signs,the condition did not longer develop, after exercised therapy 48 h, the observation group combined with functional electrical stimulation therapy, treated once/d, every time 20 rain, 5 days for a course of treatment, continuoused treatment for 21 days, after treatment, the FMA score and BI were compared between two groups. Results After treatment, the FMA score of the observation group increased more significantly than the control group （P〈0.05）. The B I of the observation group increased more significantly than the control group（P〈0.05）. The basic cure rate of observation group was 28.6%, the total effective rate was 85.7%, basic recovery rate of the control group was 22.9% ,total effective rate of the control group was 68.6%, and the difference was statistically significant （P〈0.05）. Conclusion Functional electrical stimulation combined early exercise therapy can improve the clinical efficacy of acute cerebral infarction and improve the patient＇s limb motor function, improve the patient＇s activities of daily living.

关 键 词：急性脑梗死 功能性电刺激 联合 运动疗法 

分 类 号：R743.33[医药卫生—神经病学与精神病学]