低频脉冲电疗联合康复训练对脑卒中偏瘫患者神经功能及肢体运动功能的影响  

Effect of Low Frequency Pulse Electrotherapy Combined with Rehabilitation Training on Neurological Function and Limb Motor Function in Stroke Patients with Hemiplegia

作　　者：沈雁青 SHEN Yanqing(Department of Rehabilitation,Jiangyin People's Hospital,Wuxi 214400,China)

机构地区：[1]江阴市人民医院康复科,江苏无锡214400

出　　处：《反射疗法与康复医学》2024年第11期65-68,共4页Reflexology And Rehabilitation Medicine

摘　　要：目的探讨低频脉冲电疗联合康复训练在脑卒中偏瘫患者中的应用效果。方法选取2021年8月—2023年10月江阴市人民医院收治的98例脑卒中偏瘫患者为研究对象,按随机数字表法将其分为对照组与观察组,各49例。对照组采用康复训练干预,观察组在对照组基础上采用低频脉冲电疗干预。对比两组患者的神经功能、自理能力、肢体运动功能及生活质量。结果干预前,两组神经功能、自理能力、肢体运动功能及生活质量比较,组间差异无统计学意义(P>0.05);干预后,观察组美国国立卫生研究院卒中量表评分为(8.23±1.02)分,低于对照组的(10.32±1.14)分,改良Bathel指数评分为(74.37±5.85)分,高于对照组的(65.55±6.63)分,Fugl-Meyer运动功能评定量表中的上肢功能评分为(42.67±3.94)分,下肢功能评分为(25.67±2.83)分,均高于对照组的(35.25±3.82)分、(20.75±2.65)分,脑卒中影响量表中的手功能评分为(17.63±2.12)分,力气评分为(13.35±1.69)分,移动能力评分为(34.48±1.69)分,交流评分为(23.86±1.45)分,情绪评分为(36.13±1.32)分,日常生活能力评分为(37.03±2.52)分,记忆与思维评分为(25.12±2.52)分,参与评分为(28.14±1.45)分,均高于对照组的(14.15±2.34)分、(10.14±1.95)分、(32.19±2.45)分、(19.77±2.68)分、(33.33±1.54)分、(32.95±2.80)分、(20.42±2.24)分、(24.94±2.12)分,组间差异有统计学意义(P<0.05)。结论低频脉冲电疗联合康复训练可以减轻脑卒中偏瘫患者神经功能障碍,改善自理能力与肢体运动功能,提升生活质量。Objective To explore the application effect of low frequency pulse electrotherapy combined with rehabilitation training in stroke patients with hemiplegia.Methods Ninety-eight patients with stroke hemiplegia admitted to Jiangyin People's Hospital from August 2021 to October 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 49 cases in each group.The control group was treated with rehabilitation training,and the observation group was treated with low frequency pulse electrotherapy on the basis of the control group.Neurological function,self-care ability,limb motor function and quality of life were compared between the two groups.Results Before intervention,there were no significant differences in neurological function,self-care ability,limb motor function and quality of life between the two groups(P>0.05);after intervention,the National Institutes of Health Stroke Scale score of the observation group was(8.23±1.02)points,which was lower than(10.32±1.14)points of the control group,and the Modified Bathel Index score was(74.37±5.85)points,which was higher than(65.55±6.63)points of the control group,the upper limb function score and lower limb function score of Fugl-Meyer motor function rating scale were(42.67±3.94)points and(25.67±2.83)points,both were higher than(35.25±3.82)points and(20.75±2.65)points of the control group,the score of the stroke impact scale was(17.63±2.12)points,strength was(13.35±1.69)points,mobility was(34.48±1.69)points,communication was(23.86±1.45)points and emotion was(36.13±1.32)points,the daily living ability score was(37.03±2.52)points,memory and thinking score was(25.12±2.52)points,and participation score was(28.14±1.45)points,they were higher than(14.15±2.34)points,(10.14±1.95)points,(32.19±2.45)points,(19.77±2.68)points,(33.33±1.54)points,(32.95±2.80)points,(20.42±2.24)points,(24.94±2.12)points in the control group.the differences between groups were statisticall

关 键 词：脑卒中偏瘫 低频脉冲电疗 康复训练 神经功能 肢体运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]