功能性电刺激联合新Bobath技术在脑卒中后肩痛患者康复中的效果观察  

Observation of the effect of functional electrical stimulation combined with the new Bobath technique in the rehabilitation of patients with shoulder pain after stroke

作　　者：李燕军 蒋雪骏 LI Yan-Jun;JIANG Xue-Jun(Rehabilitation Medicine Department of Shanghai Fifth Rehabilitation Hospital,Shanghai 201600,China)

机构地区：[1]上海市第五康复医院康复医学科,上海201600

出　　处：《吉林医学》2025年第1期20-24,共5页Jilin Medical Journal

基　　金：上海市科技计划项目[项目编号:22DZ2302900]。

摘　　要：目的:探讨功能性电刺激联合新Bobath技术在脑卒中后肩痛患者康复中的效果。方法:选取2022~2023年在上海市第五康复医院接受治疗的脑卒中后肩痛患者90例,采用随机数字表法分为试验组(功能性电刺激联合新Bobath技术治疗)和对照组(新Bobath技术治疗)各45例,并比较二者的临床治疗效果、疼痛视觉模拟量表(VAS)评分和运动功能评分量表(Fugl-Meyer)评分、肩关节活动度评分、生活质量评分及患者治疗满意度,探讨其应用价值。结果:试验组治疗总有效率(84.44%)高于对照组(64.44%),差异有统计学意义(P<0.05)。治疗4周后,试验组VAS评分低于治疗前和对照组,Fugl-Meyer评分高于治疗前和对照组,差异均有统计学意义(P<0.05)。治疗4周后,试验组肩关节屈曲、外展、外旋的活动度均大于对照组,差异均有统计学意义(P<0.05)。治疗4周后,两组生活质量评分均高于治疗前,且试验组高于对照组,差异均有统计学意义(P<0.05)。试验组总满意度均高于对照组,差异有统计学意义(P<0.05)。结论:功能性电刺激联合新Bobath技术在脑卒中后肩痛患者康复中的效果较好,治疗后患者满意度较高。Objective To explore the effectiveness of functional electrical stimulation combinedwith the new Bobath technique in the rehabilitation of shoulder pain patients after stroke.Method 90 patients with post-stroke shoulder pain who received treatment at the Shanghai Fifth Rehabilitation Hospital from 2022 to 2023 were selected and divided into an experimental group(functional electrical stimulation combined with new Bobath technology treatment,n=45)and a control group(new Bobath technology treatment,n=45)using a random number table method.The clinical efficacy,VAS score,Fugl Meyer score,shoulder joint mobility score,and the of quality of life scores and patient satisfaction with treatment were compared to explore the application value.Results The total effective rate of the experimental group was 84.44%,which was higher than the control group′s 64.44%,and the difference was statistically significant(P<0.05).After 4 weeks of treatment,the VAS score of the experimental group was lower than that of the pre-treatment and control groups,and the Fugl-Meyer score was higher than that of the pre-treatment and control groups(P<0.05);After 4 weeks of treatment,the range of motion of shoulder joint flexion,abduction,and external rotation in the experimental group was greater than that in the control group(P<0.05);After 4 weeks of treatment,the quality of life scores of both groups were higher than before treatment,and the experimental group was higher than the control group(P<0.05);The experimental group′s satisfaction and total satisfaction were both higher than the control group(P<0.05).Conclusion The combination of functional electrical stimulation and new Bobath technology has a good effect on the rehabilitation of shoulder pain patients after stroke,and the patient satisfaction after treatment is high,which can be promoted and used in clinical practice.

关 键 词：功能性电刺激 新Bobath技术 脑卒中 肩关节痛 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]