电刺激联合PNF技术对脑卒中偏瘫患者的影响  

Effect of Electrical Stimulation Combined with PNF Technology on Stroke Patients with Hemiplegia

作　　者：朱虹[1] ZHU Hong(Nanjing Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine,Nanjing 210006,China)

机构地区：[1]南京中医药大学附属南京中医院,江苏南京210006

出　　处：《中外医学研究》2024年第13期149-152,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:观察电刺激联合本体感觉神经肌肉促进疗法(PNF)技术对脑卒中偏瘫患者的影响。方法:选择2021年8月—2023年3月南京中医药大学附属南京中医院收治的84例脑卒中偏瘫患者作为研究对象。依据随机数表法分为两组,各42例。对照组行常规康复方法,观察组在对照组基础上给予电刺激联合PNF干预,两组均连续干预12周。比较两组干预前后上肢功能、上肢肌力、神经功能、日常生活能力。结果:干预后,两组Fugl-Meyer运动量表(FMA)-上肢功能评分高于干预前,改良Ashworth量表(MAS)-上肢肌力评分低于干预前,且观察组FMA-上肢功能评分高于对照组,MAS-上肢肌力评分低于对照组,差异有统计学意义(P<0.05)。干预后,两组美国国立卫生院研究院卒中量表(NIHSS)评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。干预后,两组Barthel指数(BI)高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:电刺激联合PNF技术可促进脑卒中患者上肢肌力的提升,促进受损神经功能恢复,改善肢体上肢功能及日常生活自理能力。Objective:To observe the effect of electrical stimulation combined with proprioceptive neuromuscular facilitation(PNF)technology on stroke patients with hemiplegia.Method:A total of 84 patients with stroke hemiplegia admitted to Nanjing Traditional Chinese Medicine Hospital Affiliated to Nanjing University of Traditional Chinese Medicine from August 2021 to March 2023 were selected as the study objects.According to the method of random number table,they were divided into two groups,with 42 cases in each group.The control group received conventional rehabilitation methods,and the observation group received electrical stimulation combined with PNF technology intervention on the basis of the control group.Both groups were continuously interfered for 12 weeks.The upper limb function,muscle strength,nerve function and daily living ability of the two groups were compared before and after intervention.Result:After intervention,the Fugl-Meyer exercise scale(FMA)-upper limb function scores of the two groups were higher than that before intervention,the modified Ashworth scale(MAS)-upper limb muscle strength scores of the two groups were lower than that before intervention,and the FMA-upper limb function score of the observation group was higher than that of the control group,the MAS�upper limb muscle strength score was lower than that of the control group,the differences were statistically significant(P<0.05).After intervention,the National Institutes of Health stroke scale(NIHSS)scores of the two groups were lower than those before intervention,and the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).After intervention,the Barthel indexes(BI)of the two groups were higher than that before intervention,and the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).Conclusion:Electrical stimulation combined with PNF technology can promote the improvement of upper limb muscle strength in stroke patie

关 键 词：脑卒中 偏瘫 电刺激 本体感觉神经肌肉促进疗法 上肢功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]