功能性电刺激结合重复经颅磁刺激用于缺血性脑卒中偏瘫患者步行障碍恢复的临床观察  

Clinical observation of functional electrical stimulation combined with repetitive transcranial magnetic stimulation in the recovery of walking disorders in hemiplegic patients with ischemic stroke

作　　者：孙乐鹏[1] 王艳雪 代新年 Sun Lepeng;WangYanxue;Dai Xinnian(Weifang Medical Universit)

机构地区：[1]山东省潍坊医学院临床医学院,261000 [2]山东阳光融和医院康复医学科

出　　处：《卒中与神经疾病》2018年第5期542-545,552,共5页Stroke and Nervous Diseases

基　　金：济南军区后勤科研计划课题(CJN12J062)

摘　　要：目的观察功能性电刺激结合重复经颅磁刺激用于缺血性脑卒中偏瘫患者步行障碍恢复的临床疗效。方法将53例缺血性脑卒中偏瘫患者随机分为对照组、治疗组、假治疗组3组,在均接受常规康复训练的基础上对照组接受功能性电刺激治疗,治疗组接受功能性电刺激及重复经颅磁刺激治疗,假治疗组接受功能性电刺激及假重复经颅磁刺激治疗;治疗前及治疗8周后采用步态运动学参数、时间参数、距离参数及Amer-Lindholm分级对3组患者的下肢综合运动功能进行评定。结果治疗前3组患者步态运动学参数、时间参数、距离参数及Amer-Lindholm分级评分均无显著差异(P>0.05),治疗8周后3组患者上述指标明显改善且治疗组改善幅度明显优于其余2组(P<0.05)。结论功能性电刺激联合重复经颅磁刺激治疗有利于改善缺血性脑卒中偏瘫患者的步行运动功能。Objective To observe the clinical efficacy of functional electrical stimulation combined with repetitive transcranial magnetic stimulation in the recovery of walking disorders in hemiplegic patients with ischemic stroke.Methods Fifty-three patients with ischemic stroke were randomly divided into control group,treatment group and fake group.On the basis of routine rehabilitation training the control group received functional electrical stimulation and the treatment group received functional electrical Stimulation and repetitive transcranial magnetic stimulation treatment,false treatment group received functional electrical stimulation and false repetitive transcranial magnetic stimulation treatment.Before treatment and for 8 weeks after treatment the lower limb comprehensive motor function of the three groups was evaluated by gait kinematic parameters,time parameters,distance parameters and Amer-Lindholm classification.Results There were no significant differences in gait kinematic parameters,time parameters,distance parameters and Amer-Lindholm grading scores among the three groups before treatment（P〈0.05）.for 8 weeks After treatment the above parameters were significantly improved.The improvement rate of the treatment group was significantly better than that of the other two groups（P〈0.05）.Conclusion Functional electrical stimulation combined with repetitive transcranial magnetic stimulation could improve the walking function of hemiplegic patients with ischemic stroke and provide a new way for clinical treatment of stroke patients.

关 键 词：功能性电刺激 重复经颅磁刺激 脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]