神经肌肉刺激对脑卒中后肩手综合征的预防效果及护理  

Preventive effects of neuromuscular stimulation on shoulder-hand syndrome after cerebral stroke and its nursing care

作　　者：赵凤[1] 

机构地区：[1]江苏省苏北人民医院神经内科,江苏省扬州市225001

出　　处：《河北医药》2018年第1期140-142,148,共4页Hebei Medical Journal

摘　　要：目的探讨神经肌肉刺激对脑卒中后肩手综合征的预防效果及护理。方法选择收治的脑卒中后肩手综合征患者60例,采用系统随机的方法分为对照组和观察组,每组30例。对照组采用常规治疗联合康复护理方法治疗,观察组采用神经肌肉刺激联合康复护理。比较2组患者治疗前及治疗后的临床症状评分,比较2组患者治疗后的治疗疗效、生活质量及不良反应的发生情况。结果对照组患者总有效率为76.66%与观察组的96.66%相比更低,差异有统计学意义(P<0.05)。治疗前,2组患者临床症状评分比较差异无统计学意义(P>0.05);治疗后,2组患者临床症状评分较治疗前明显下降,且观察组患者的临床症状评分明显低于对照组,差异有统计学意义(P<0.05)。观察组患者生活质量有效改善率为80.0%明显优于对照组的30.0%,差异有统计学意义(P<0.05)。2组患者不良反应差异无统计学意义(P>0.05)。结论采用神经肌肉刺激联合康复护理对脑卒中后肩手综合征患者进行治疗,疗效显著,有效改善患者的临床症状,且患者不良反应小。Objective To investigate the preventive effects of neuromuscular stimulation on shoulder-hand syndrome after cerebral stroke and its nursing care. Methods The data about 60 patients with shoulder-hand syndrome after cerebral stroke who were admitted and treated in our hospital from March 2014 to March 2016 were retrospectively analyzed. These patients were randomly divided into observation group and eontrol group, with 30 patients in each group. The patients in control group were treated by conventional therapy combined with rehabilitation nursing, however, the patients in observation group were treated by neuromuscular stimulation combined with rehabilitation nursing. The clinical symptom scores before and after treatment were observed and compared between two groups, in addition, the therapeutic effects, life quality and incidence rates of adverse reactions after treatment were also observed and compared between two groups. Results The total effective rate was 76.66% in control group, which was significantly lower than that （96.66%） in observation group （.P 〈 0.05 ）. Before treatment, there were no significant differences in clinical symptom scores between two groups （ P 〉 0.05 ）. After treatment, the clinical symptom scores were obviously decreased in both groups, moreover, which in observation group were significantly lower than those in control group （P 〈0.05 ）. After treatment, the effective improvement rate of life quality （ 80.0% ） in observation group was significantly higher than that （30.0%） in control group （ P 〈 0.05 ）. Besides the adverse reactions were slighter in both groups, there were no significant differences between two groups （ P 〉 0.05 ）. Conclusion The neuromuscular stimulation combined with rehabilitation nursing in treatment of shoulder-hand syndrome after cerebral stroke has obvious curative effects, which can effectively improve clinical symptom of patients, without obvious adverse reaction.

关 键 词：神经肌肉刺激 脑卒中 肩手综合征 护理 

分 类 号：R473.6[医药卫生—护理学]