低频脉冲电疗联合康复训练对脑卒中后肩手综合征的疗效观察  

Effect of low frequency pulse electrical therapy combined with rehabilitation training on patients with shoulder-hand syndrome after stroke

作　　者：刘学春 刘红娟 管叶明 LIU Xue-chun;LIU Hong-juan;GUAN Ye-ming(Department of Neurology,The 901st Hospital of Joint Logistics Support Force of PLA,Hefei,Anhui,230031,China;Department of Rehabilitation Medicine,The First Affiliated Hospital ofthe University of Science and Technology of China(Anhui Provincial Hospital),Hefei,Anhui,230031,China)

机构地区：[1]中国人民解放军联勤保障部队第九〇一医院神经内科,安徽合肥230031 [2]中国科学技术大学附属第一医院(安徽省立医院)康复医学科,安徽合肥230031

出　　处：《颈腰痛杂志》2021年第4期505-507,共3页The Journal of Cervicodynia and Lumbodynia

基　　金：南京军区医学创新课题面上课题(编号:15MS047)。

摘　　要：目的探讨低频脉冲电疗联合康复训练治疗脑卒中后肩手综合征(shoulder-hand syndrome,SHS)的临床疗效。方法选取收治入院的86例SHS患者,随机分为观察组(43例)和对照组(43例)。对照组按脑卒中指南进行内科治疗和常规康复训练,观察组在对照组治疗的基础上加用低频脉冲电疗,2周后比较两组患者的VAS评分、Fugl-Meyer评定量表(Fugl-Meyer assessment,FMA)和改良Barthel指数(Modified Barthel Index,MBI)评分。结果治疗后,两组患者VAS评分均明显下降,而FMA和MBI评分均显著升高(P<0.05);观察组治疗后的VAS评分显著低于对照组,FMA和MBI评分显著高于对照组(P<0.01)。结论低频脉冲电疗联合康复训练可显著改善卒中后SHS患者的上肢运动功能,缓解肩部疼痛,提高日常生活能力。Objective To evaluate the clinical effect of low frequency pulse electrical therapy combined with rehabilitation training on patients with shoulder-hand syndrome(SHS)after stroke.Methods A total of 86 patients with SHS after stroke admitted to our hospital were randomly divided into observation group(43 cases)and control group(43 cases).The control group received medical treatment and routine rehabilitation training according to the stroke guidelines,while the observation group was treated with low frequency pulse electrical therapy based on the treatment of the control group.After 2 weeks,the VAS scale,Fugl-Meyer assessment scale(FMA)and modified Barthel index(MBI)were compared between the two groups.Results The VAS score in the two groups was significantly decreased after treatment,while FMA score and the MBI score were higher than before treatment(P<0.05).After treatment,the VAS score of the observation group was significantly lower than that of control group,the FMA score and MBI score were significantly higher than those of control group(P<0.01).Conclusion The combination of low frequency pulse electrical therapy and rehabilitation training can significantly improve the motor function of the upper limb,relieve shoulder pain and improve the quality of life in SHS patients after stroke.

关 键 词：低频脉冲电疗 康复训练 肩手综合征 脑卒中 

分 类 号：R493[医药卫生—康复医学]