早期床旁神经肌肉电刺激疗法联合常规康复训练对急性脑梗死患者预后的影响  

Effect of early bedside neuromuscular electrical stimulation combined with routine rehabilitation training on prognosis of patients with acute cerebral infarction

作　　者：徐华燕 颜颖颖 韩春赓 谢江文 XU Huayan;YAN Yingying;HAN Chungeng;XIE Jiangwen(Department of Neurology,Ningbo Yinzhou Second Hospital,Ningbo 315000,China)

机构地区：[1]宁波市鄞州区第二医院神经内科,浙江宁波315000

出　　处：《中国现代医生》2019年第10期105-108,共4页China Modern Doctor

基　　金：浙江省宁波市鄞州区第五批农社类科技项目(34)

摘　　要：目的探讨早期床旁神经肌肉电刺激疗法联合常规康复训练对急性脑梗死患者预后的影响。方法随机选取2016年1月～2018年1月我院收治的急性脑梗死患者200例,依据随机数字表法将患者分为早期床旁神经肌肉电刺激疗法联合常规康复训练组(联合组,n=100)和单独常规康复训练组(常规组,n=100),统计两组患者的NDF评分、FMA评分、MBI评分、临床疗效。结果组内比较,两组患者治疗后的NDF评分均显著低于治疗前(P<0.05),FMA评分、MBI评分均显著高于治疗前(P<0.05);组间比较,治疗后联合组患者的NDF评分显著低于常规组(P<0.05),FMA评分、MBI评分均显著高于常规组(P<0.05),但治疗前两组患者的NDF评分、FMA评分、MBI评分之间的差异均不显著(P>0.05)。联合组患者治疗的总有效率95.0%(95/100)显著高于常规组81.0%(81/100)(P<0.05)。结论早期床旁神经肌肉电刺激疗法联合常规康复训练较单独常规康复训练更能有效改善急性脑梗死患者预后。Objective To investigate the effect of early bedside neuromuscular electrical stimulation combined with routine rehabilitation training on the prognosis of patients with acute cerebral infarction.Methods A total of 200 patients with acute cerebral infarction admitted in our hospital from January 2016 to January 2018 were randomly selected.According to the random number table method,these patients were divided into early bedside neuromuscular electrical stimulation therapy combined with routine rehabilitation training group(combined group,n=100)and the separate conventional rehabilitation training group(routine group,n=100).The NDF score,FMA score,MBI score,and clinical efficacy were compared between the two groups.Results The NDF scores after treatment were significantly lower than before treatment(P<0.05),and the FMA score and MBI score of the two groups after treatment were significantly higher than those before treatment(P<0.05).The NDF score in combined group was significantly lower than that in the routine group(P<0.05),and the FMA score and MBI score of the patients in combined group were significantly higher than that in the routine group after treatment(P<0.05).But the difference in the NDF score,FMA score and MBI score between the two groups before treatment was not significant(P>0.05).The total effective rate of treatment in the combined group was 95.0%(95/100),which was significantly higher than 81.0%(81/100)in the routine group(P<0.05).Conclusion Early bedside neuromuscular electrical stimulation combined with conventional rehabilitation training can improve the prognosis of patients with acute cerebral infarction more effectively than conventional rehabilitation training.

关 键 词：早期床旁神经肌肉电刺激疗法 常规康复训练 急性脑梗死 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]