常规康复疗法结合功能电刺激对缺血性脑卒中偏瘫患者的治疗效果观察  

Observation on Therapeutic Effect of Routine Rehabilitation Therapy Com⁃bined with Functional Electrical Stimulation on Hemiplegic Patients with Isch⁃emic Stroke

作　　者：王可升[1] 董静[1] WANG Kesheng;DONG Jing(Department of Rehabilitation Medicine,Affiliated Hospital of Jilin Medical University,Jilin City,Jilin Province 132013,China)

机构地区：[1]吉林医药学院附属医院康复医学科,吉林吉林132013

出　　处：《吉林医药学院学报》2024年第5期346-349,共4页Journal of Jilin Medical University

基　　金：吉林市科技局项目(20220404003)。

摘　　要：目的探讨常规康复疗法结合功能电刺激对脑卒中偏瘫患者的治疗效果。方法回顾性分析2022年6月—2023年1月在院治疗的脑卒中偏瘫患者84例为治疗对象。将2022年6月—2022年9月治疗的41例患者纳入对照组,将2022年10月—2023年1月治疗的43例患者纳入功能电刺激组。对照组口服阿司匹林,同时给予常规的被动训练和按摩治疗等。功能电刺激组在对照组基础上,增加功能电刺激治疗。治疗后,从患者运动功能评分、患者临床痉挛指标评分、平衡功能障碍评分、10 m步行速度、神经功能评分等方面,比较治疗效果。结果功能电刺激组患者上肢和下肢运动功能评分大于对照组,临床痉挛指标评分小于对照组,平衡功能障碍评分大于于对照组,10 m步行速度大于对照组,神经功能评分小于对照组。以上比较差异均有统计学意义(P<0.05)。结论常规康复疗法结合功能电刺激治疗能有效提高脑卒中偏瘫患者的运动功能和平衡功能。Objective To explore the therapeutic effect of routine rehabilitation therapy combined with functional electrical stimulation on stroke patients with hemiplegia.Methods A retrospective analysis was conducted on 84 patients with stroke hemiplegia who were hospi⁃talized from June 2022 to January 2023.41 patients treated from June 2022 to September 2022 were included in the control group,and 43 patients treated from October 2022 to January 2023 were included in the functional electrical stimulation group.The control group re⁃ceived oral aspirin and received routine passive training and massage therapy.The functional electrical stimulation group was supple⁃mented with functional electrical stimulation therapy on the basis of the control group.After treatment,the treatment effects were com⁃pared in terms of patient motor function scores,clinical spasticity index scores,balance dysfunction scores,10 meters walking speed,and neurological function scores.Results The motor function scores of the upper and lower limbs in the functional electrical stimulation group were higher than those in the control group,the clinical spasticity index scores were lower than those in the control group,the bal⁃ance dysfunction scores were higher than those in the control group,the walking speed at 10 meters was higher than that in the control group,and the neurological function scores were lower than those in the control group.The above comparative differences were statisti⁃cally significant(P<0.05).Conclusion Conventional rehabilitation therapy combined with functional electrical stimulation therapy can effectively improve motor function and balance function in stroke patients with hemiplegia.

关 键 词：脑卒中偏瘫 功能电刺激 阿司匹林 被动训练 康复按摩 

分 类 号：R743.3[医药卫生—神经病学与精神病学]