深层肌肉刺激仪联合痉挛肌治疗仪对痉挛性偏瘫患者上肢肌张力的影响  

Effect of Deep Muscle Stimulator Combined with Spastic Muscle Therapy Instrument on the Upper Limb Muscle Tension in Patients with Spastic Hemiplegia

作　　者：沈政锋 陈龙 万泉 倪晓辉 田应龙 SHEN Zhengfeng;CHEN Long;WAN Quan;NI Xiaohui;TIAN Yinglong(Department of rehabilitation,Yancheng dafeng people's hospital,Yancheng,Jiangsu 224100;Department of orthopaedics,Yancheng dafeng people's hospital,Yancheng,Jiangsu 224100)

机构地区：[1]盐城市大丰人民医院康复科,江苏盐城224100 [2]盐城市大丰人民医院骨科,江苏盐城224100

出　　处：《中国伤残医学》2024年第6期12-15,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:观察深层肌肉刺激仪(DMS)联合痉挛肌治疗仪对痉挛性偏瘫患者上肢肌张力的影响.方法:选取我院2019年1月-2020年1月收治的60例痉挛性偏瘫患者为研究对象,按照随机数字表法将其分为对照组与观察组,各30例.2组均先使用痉挛肌治疗仪治疗,对照组在上肢肌张力缓解后采用常规康复治疗,观察组在对照组基础上联合DMS治疗,2组均持续治疗4周.比较2组患者的运动功能及上肢肌张力.结果:治疗4周后,观察组上肢肌张力分级分布情况优于对照组;观察组Fugl-Meyer运动功能评定量表评分为(24.06±4.63),高于对照组的(21.47±5.29),组间差异有统计学意义(P<0.05).结论:DMS联合痉挛肌治疗仪能降低痉挛性偏瘫患者上肢肌张力,效果显著.Objective:To observe the effect of deep muscle stimulator(DMS)combined with spastic muscle therapy instrument on the upper limb muscle tension in patients with spastic hemiplegia.Methods:60 patients with spastic hemiplegia admitted to our hospital from January 2019 to January 2020 were selected as the research objects,they were divided into a control group and an observation group according to random number table method,with 30 cases in each group.The two groups were treated with spastic muscle therapy apparatus first,the control group was treated with routine rehabilitation after the upper limb muscle tension was relieved,and the observation group was treated with DMS on the basis of the control group.Both groups received continuous treatment for 4 weeks.The motor function and upper limb muscle tone of the two groups were compared.Results:4 weeks after treatment,the graded distribution of muscle tension in the upper limbs of the observation group was better than of the control group,and the Fugl-Meyer Motor Function Rating Scale score in the observation group was(24.06±4.63)points,which was higher than(21.47±5.29)points of the control group,with statistical significance between the two groups(P<0.05).Conclusion:DMS combined with spastic muscle therapy instrument can reduce the upper limb muscle tension in patients with spastic hemiplegia with remarkable effect.

关 键 词：痉挛性偏瘫 DMS 痉挛肌治疗仪 肌张力 

分 类 号：R742.3[医药卫生—神经病学与精神病学]