多通道功能性电刺激对老年长期卧床患者认知功能的影响  

Effect of Multi-channel Functional Electrical Stimulation on Cognitive Function of Bedridden Elderly

作　　者：谢丹丹[1] 任玉莲[1] 陈铖 张晨 何晓阔[1] XIE Dandan;REN Yulian;CHEN Cheng;ZHANG Chen;HE Xiaokuo(Taihe Hospital of Shiyan, Shiyan, Hubei 442000, Chin)

机构地区：[1]十堰市太和医院,湖北十堰442000

出　　处：《康复学报》2018年第2期23-27,42,共6页Rehabilitation Medicine

基　　金：国家自然科学基金项目(81171863)

摘　　要：目的:探讨多通道功能性电刺激(FES)对老年长期卧床患者认知功能的影响,同时观察其对肺部感染、泌尿系感染、压疮等并发症的作用。方法:将76例长期卧床老年患者按照随机数字表法分为FES组和对照组。2组均采用常规治疗加基本护理,FES组在此基础上加用FES治疗仪治疗,每次30 min,每天1次,每周5次,连续治疗2周。治疗前后采用蒙特利尔认知功能评估量表(Mo CA)、事件相关电位P300评定患者的认知功能,使用改良Barthel指数(MBI)评分评定其日常生活活动能力(ADL),另对肺部感染、泌尿系感染、压疮等常见卧床引起的并发症进行评定。结果:治疗2周后,2组Mo CA、MBI评分较治疗前明显增加(P<0.05);事件相关电位P300潜伏期明显缩短,波幅明显增大(P<0.05)。治疗2周后2组Mo CA、MBI评分、事件相关电位P300潜伏期及波幅组间比较,差异有统计学意义(P<0.05)。治疗2周后,FES组肺部感染、泌尿系感染的发生率明显低于对照组(P<0.05)。结论:FES可改善老年长期卧床患者的认知功能,提高其ADL及生活质量,减少并发症的发生。Objective：To explore the effect of multi-channel functional electrical stimulation（FES） on the cognitive function of bedridden elderly, and observe its effect on the complications due to long-term bed, such as pulmonary infection, urinary tract infection and pressure sores. Methods：76 bedridden elderly were randomly assigned to the FES group（n=38） and control group（n=38）. Both groups received routine treatment and basic nursing. The FES group was added with multi-channel FES for two weeks, once a day and five times each week. Before and after treatment, the Montreal cognitive assessment（Mo CA） scores and event related potentials P300 were used to evaluate the cognitive function, modified Barthel index（MBI） was used to evaluate the activities of daily living（ADL）,and the complications, such as pulmonary infection, urinary tract infection and pressure sores were evaluated. Results：After two weeks, the Mo CA score and MBI score in both groups were significantly increased than those before the treatment（P〈0.05）, and the latency of event related potentials P300 was significantly shorter than that before the treatment（P〈0.05）. The incidence of pulmonary infection and urinary tract infection in FES group were lower than those of control group after two weeks（P〈0.05）. Conclusion：FES can improve the cognitive function of bedridden elderly effectively, increase the ADL ability and quality of life, reduce the incidence of long-term bedridden complications.

关 键 词：多通道功能性电刺激 卧床老人 P300 认知功能 并发症 

分 类 号：R743.3[医药卫生—神经病学与精神病学]