神经肌肉电刺激联合芒针透刺躯干肌对老年脑出血后偏瘫患者肢体功能、神经功能和生活质量的影响  

Effects of neuromuscular electrical stimulation combined with awn needle penetration of trunk muscle on limb function,nerve function and quality of life in elderly patients with hemiplegia after cerebral hemorrhage

作　　者：刘俊 胡贵艳 高玲 王薇 LIU Jun;HU Gui-yan;GAO Ling(Department of Rehabilitation,Chaisang District People's Hospital of Jiujiang,Jiujiang 332100,China)

机构地区：[1]九江市柴桑区人民医院康复科,332100

出　　处：《中国实用医药》2025年第3期120-123,共4页China Practical Medicine

摘　　要：目的探讨神经肌肉电刺激联合芒针透刺躯干肌对老年脑出血后偏瘫患者肢体功能、神经功能和生活质量的影响。方法128例老年脑出血后偏瘫患者,按随机数字表法分为对照组(n=64,常规治疗和神经肌肉电刺激)和观察组(n=64,对照组基础上接受芒针透刺躯干肌)。对比两组平衡功能评分、肢体运动功能评分,美国国立卫生研究院卒中量表(NIHSS)评分,生活质量评分。结果治疗前,两组Fugl-Meyer运动功能评定量表上肢部分(FMA-UE)、Fugl-Meyer运动功能评定量表下肢部分(FMA-LE)、Berg平衡量表(BBS)评分比较未见差异(P>0.05)。治疗后,两组FMA-UE、FMA-LE、BBS评分均较治疗前升高,且观察组FMA-UE评分(55.34±3.29)分、FMA-LE评分(30.88±2.61)分、BBS评分(49.34±3.95)分高于对照组的(46.07±4.58)、(27.21±2.87)、(44.27±3.07)分(P<0.05)。治疗前,两组NIHSS评分比较未见差异(P>0.05)。治疗后,两组NIHSS评分较治疗前下降,且观察组NIHSS评分(6.35±1.96)分低于对照组的(10.14±2.24)分(P<0.05)。治疗前,两组躯体功能、心理功能、社会功能、物质生活评分比较未见差异(P>0.05)。治疗后,两组躯体功能、心理功能、社会功能、物质生活评分均较治疗前升高,且观察组躯体功能评分(81.29±6.55)分、心理功能评分(78.39±8.93)分、社会功能评分(79.41±4.40)分、物质生活评分(69.22±5.58)分高于对照组的(73.28±5.96)、(69.38±7.37)、(72.70±5.24)、(66.29±5.36)分(P<0.05)。结论神经肌肉电刺激联合芒针透刺躯干肌应用于老年脑出血后偏瘫患者中,可促进其肢体功能、神经功能的恢复,改善生活质量。Objective To explore the effects of neuromuscular electrical stimulation combined with awn needle penetration of trunk muscle on limb function,nerve function and quality of life in elderly patients with hemiplegia after cerebral hemorrhage.Methods According to the random number table method,128 elderly patients with hemiplegia after cerebral hemorrhage were divided into control group(n=64,routine treatment and neuromuscular electrical stimulation)and observation group(n=64,awn needle penetration of trunk muscle on the basis of the control group).The balance function score,limb motor function score,National Institutes of Health Stroke Scale(NIHSS)score and quality of life score were compared between the two groups.Results Before treatment,there were no differences in the scores of Fugl-Meyer Assessment of the upper extremity(FMA-UE)and lower extremity(FMA-LE)and Berg Balance Scale(BBS)between the two groups(P>0.05).After treatment,the scores of FMA-UE,FMA-LE and BBS in both groups were higher than those before treatment;the observation group had FMA-UE score of(55.34±3.29)points,FMA-LE score of(30.88±2.61)points and BBS score of(49.34±3.95)points,which were higher than(46.07±4.58),(27.21±2.87)and(44.27±3.07)points in the control group(P<0.05).Before treatment,there was no difference in NIHSS score between the two groups(P>0.05).After treatment,NIHSS score in both groups was lower than that before treatment,and the NIHSS score of(6.35±1.96)points in the observation group was lower than(10.14±2.24)points in the control group(P<0.05).Before treatment,there were no differences in scores of physical function,psychological function,social function and material life between the two groups(P>0.05).After treatment,the scores of physical function,psychological function,social function and material life in both groups were higher than those before treatment;in the observation group,the physical function score was(81.29±6.55)points,the psychological function score was(78.39±8.93)points,the social function score was(

关 键 词：神经肌肉电刺激 芒针透刺 躯干肌 老年 脑出血 偏瘫 肢体功能 神经功能 生活质量 

分 类 号：R743.34[医药卫生—神经病学与精神病学]