神经肌肉电刺激系统联合康复训练在脑卒中后肢体功能障碍患者康复中的应用价值  

Application Value of Neuromuscular Electrical Stimulation System Combined with Rehabilitation Training in the Rehabilitation of Patients with Limb Dysfunction after Stroke

作　　者：甘艺红[1] 汪婷[1] 陈陪能[1] 陈苗[1] 张艺羡 黄雪娟[1] 张秀霞[1] GAN Yihong;WANG Ting;CHEN Peineng;CHEN Miao;ZHANG Yixian;HUANG Xuejuan;ZHANG Xiuxia(Department of Neurology,the 909th Hospital,Zhangzhou 363000,China;不详)

机构地区：[1]第九〇九医院(厦门大学附属东南医院)神经内科,福建漳州363000

出　　处：《中国医学创新》2024年第27期118-122,共5页Medical Innovation of China

摘　　要：目的:探究神经肌肉电刺激系统联合康复训练在脑卒中后肢体功能障碍患者康复中的应用价值。方法:选取2022年1—12月第九〇九医院收治的95例脑卒中后肢体功能障碍患者作为研究对象。按照随机数字表法分为对照组(n=47)和观察组(n=48)。观察组行康复训练联合神经肌肉电刺激系统干预,对照组仅接受康复训练干预,两组均持续干预3个月。比较两组干预前后改良Ashworth量表(MAS)评分、患肢各关节主动活动度、脑卒中康复运动功能评定量表(STREAM)评分。结果:干预前,两组MAS评分、患肢各关节主动活动度、STREAM评分比较,差异均无统计学意义(P>0.05);干预后,两组患侧上肢肌肉痉挛、下肢肌肉痉挛评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05);干预后,两组肩关节外展、肘关节屈曲、腕关节掌屈、手掌指关节屈曲、髋关节内外旋、膝关节屈伸主动活动度均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组上肢运动、下肢运动、基本活动评分及总分均高于干预前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。结论:在脑卒中后肢体功能障碍患者康复中应用神经肌肉电刺激系统联合康复训练可以有效缓解其肌肉痉挛情况,改善关节活动度,提高肢体运动功能。Objective:To explore the application value of neuromuscular electrical stimulation system combined with rehabilitation training in rehabilitation of patients with limb dysfunction after stroke.Method:A total of 95 patients with post-stroke limb dysfunction admitted to the 909th Hospital from January to December 2022 were selected as the study objects.They were divided into control group(n=47)and observation group(n=48)according to random number table method.The observation group received rehabilitation training combined with neuromuscular electrical stimulation system intervention,while the control group only received rehabilitation training intervention.Both groups continued to intervene for 3 months.The modified Ashworth scale(MAS)score,active range of motion of affected limbs and stroke rehabilitation assessment of movement(STREAM)score before and after intervention were compared between the two groups.Result:Before intervention,there were no significant differences in MAS score,active range of motion and STREAM score between the two groups(P>0.05).After intervention,the scores of upper limb muscle spasm and lower limb muscle spasm in both groups were lower than those before intervention,and those in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After intervention,the active motion of shoulder abduction,elbow flexion,wrist metacarpal flexion,palm-finger flexion,hip joint internal and external rotation,knee flexion and extension in both groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of the upper limb movement,lower limb movement,basic activity and total scores in two groups were higher than those before intervention,and those in the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The application

关 键 词：神经肌肉电刺激系统 脑卒中 肢体功能障碍 康复训练 肌肉痉挛 关节活动度 运动功能 

分 类 号：R473.74[医药卫生—护理学]