神经肌肉刺激治疗仪联合康复训练在脑卒中偏瘫中的应用  

Application of Neuromuscular Stimulation Therapy Apparatus Combined with Rehabilitation Training in Stroke Hemiplegia

作　　者：刘玲玲[1,2] 赵凯 LIU Lingling;ZHAO Kai(The First Affiliated Hospital of Anhui Medical University,Anhui Hefei 230022,China;The Fourth Affiliated Hospital of Anhui Medical University,Anhui Hefei 230000,China)

机构地区：[1]安徽医科大学第一附属医院,安徽合肥230022 [2]安徽医科大学第四附属医院,安徽合肥230000

出　　处：《中医药临床杂志》2022年第12期2351-2354,共4页Clinical Journal of Traditional Chinese Medicine

摘　　要：目的:探讨神经肌肉刺激治疗仪联合康复训练在脑卒中偏瘫患者中的应用效果。方法 :以收集2019年1月—2021年12月在该院就诊的脑卒中偏瘫患者119例作为研究对象。采用随机数字表法进行分组,对照组59例,观察组60例。对照组采用常规康复训练。观察组采用神经肌肉刺激治疗仪联合康复训练(内容包括翻身、卧床训练、按摩关节、强制训练及日常生活训练)。均连续训练1月。以两组患者治疗前及治疗后运动功能评分、日常生活能力评分、神经功能评分以及生活质量评分为主要观察指标,并进行统计学分析。结果 :治疗前,两组运动功能及日常生活能力对比,P>0.05;治疗后,两组运动功能及日常生活能力均与治疗前比较,P<0.05,进一步组间比较,观察组运动功能评分(77.39±2.05)分、日常生活能力评分(75.02±3.22)分均显著高于对照组,差异均具有统计学意义(P<0.05)。治疗前,两组神经功能进行比较,P>0.05;治疗后,两组神经功能均与治疗前比较,P<0.05,进一步组间比较,观察组神经功能评分(13.39±4.18)分显著低于对照组,P<0.05。观察组躯体功能评分(82.34±6.03)分、社会功能评分(82.39±3.05)分、角色功能评分(83.31±4.22)分、心理功能评分(80.02±3.12)分显著高于对照组,P<0.05。结论:神经肌肉刺激治疗仪联合康复训练可显著提高患者运动功能、日常生活能力及神经功能,改善生活质量,值得在临床上推广应用。Objective: To explore the application effect of neuromuscular stimulation therapeutic apparatus combined with rehabilitation training in stroke patients with hemiplegia. Methods: A total of 119 stroke patients with hemiplegia who were treated in this hospital from January 2019 to December 2021 were collected as research objects. The random number table method was used for grouping, with 59 cases in the control group and 60 cases in the observation group.The control group received conventional rehabilitation training. The observation group was treated with neuromuscular stimulation therapy apparatus combined with rehabilitation training(including turning over, bed rest training, massaging joints, compulsory training and daily life training). Trained continuously for 1 month. The motor function scores,daily living ability scores, neurological function scores and quality of life scores of the two groups of patients before and after treatment were used as the main observation indicators, and statistical analysis was carried out. Results: Before treatment, the motor function and daily living ability of the two groups were compared, P>0.05;after treatment, the motor function and daily living ability of the two groups were compared with those before treatment(P<0.05). Further comparison between groups, the motor function score of the observation group The scores of(77.39±2.05) and daily living ability scores(75.02±3.22) were significantly higher than those of the control group, and the differences were statistically significant(P<0.05). Before treatment, the neurological functions of the two groups were compared(P<0.05);after treatment, the neurological functions of the two groups were compared with those before treatment(P<0.05). Further comparison between the two groups showed that the neurological function score of the observation group(13.39±4.18)was significantly lower than Control group(P<0.05). The scores of physical function(82.34±6.03), social function(82.39±3.05), role function(83.31±4.22) and psychologi

关 键 词：神经肌肉刺激治疗仪 康复训练 脑卒中偏瘫 应用效果 

分 类 号：R743[医药卫生—神经病学与精神病学]