低能量激光疗法联合肌电图触发神经肌肉刺激对亚急性缺血性脑卒中患者的影响  

Effect of low-level laser therapy combined with electromyogram-triggered neuromuscular stimulation on patients with subacute ischemic stroke

作　　者：冯真真[1] 李敏敏[1] 孙建[2] 郭萌 李伟[1] Feng Zhenzhen;Li Minmin;Sun Jian;Guo Meng;Li Wei(Department of Rehabilitation Medicine,Binzhou Medical University Hospital,Binzhou 256600,Shandong Province,China)

机构地区：[1]滨州医学院附属医院康复医学科,256600 [2]滨州医学院附属医院中医科,256600

出　　处：《中华老年心脑血管病杂志》2024年第7期794-797,共4页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

基　　金：山东省中医药科技项目(Q-2023125)。

摘　　要：目的 分析低能量激光疗法(LLLT)联合肌电触发神经肌肉电刺激(ETNS)对亚急性缺血性脑卒中患者上肢功能和生活质量的影响。方法 纳入2020年1月至2023年10月滨州医学院附属医院收治的亚急性缺血性脑卒中患者52例,随机信封法分为对照组(26例)及观察组(26例)。在治疗前(入组当天)及治疗后(入组后5个月时)采用Fugl-Meyer运动功能评分-上肢(FMA-UE)、躯干损伤量表(TIS)、Wolf运动功能测试量表(WMFT)-时间(TS)及-功能能力(FS)、中文版脑卒中生活质量量表(SS-QOL)对患者进行评估。结果 观察组治疗后FMA-UE评分、TIS评分、WMFT-FS评分、SS-QOL评分较治疗前升高(P<0.05),且显著高于对照组治疗后(P<0.01);观察组治疗后WMFT-TS评分较治疗前降低(P<0.05),且显著低于对照组治疗后[(39.42±11.65)分vs(46.12±11.89)分,P=0.045]。结论 LLLT联合ETNS在改善亚急性缺血性脑卒中患者上肢功能、生活质量方面具有较好的效果。Objective To analyze the effects of low-level laser therapy(LLLT)combined with electromyogram-triggered neuromuscular electrical stimulation(ETNS)on upper limb function and quality of life in patients with subacute ischemic stroke.Methods A total of 52patients with subacute ischemic stroke admitted to our hospital from January 2020to October 2023were recruited,and then randomly divided into control group(26cases)and observation group(26cases).Fugl-Meyer Motor Function Score-Upper Limb(FMA-UE),Trunk Injury Scale(TIS),Wolf Motor Function Test Scale(WMFT)-Time(TS)and Functional Ability(FS),Chinese version of Stroke Quality of Life Scale(SS-QOL)were used before treatment(day of enrollment)and after treatment(5months after enrollment)to evaluate these patients.Results After treatment,the observation group had obviously higher FMA-UE score,TIS score,WMFT-FS score and SS-QOL score than those before treatment(P<0.05),and these scores were also notably higher than those in control group after treatment(P<0.01).The WMFT-TS score in the observation group after treatment was statistically lower than that before treatment(P<0.05),and also reduced than that of the control group after treatment(39.42±11.65 vs 46.12±11.89,P=0.045).Conclusion LLLT combined with ETNS shows good efficacy in improvement of upper limb function and quality of life in subacute ischemic stroke patients.

关 键 词：卒中 激光疗法 电刺激疗法 肌电描记术 上肢 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]