低频脉冲电疗法联合目标导向性康复干预对脑卒中患者康复情况的影响  

Effect of Low Frequency Pulse Electrotherapy Combined with Target-Oriented Rehabilitation Intervention on Rehabilitation of Stroke Patients

作　　者：郭增学 孔祥慧 谭吉勇 GUO Zengxue;KONG Xianghui;TAN Jiyong(Department of Rehabilitation Medicine,Liaocheng Retired Military Hospital,Liaocheng 252000,China)

机构地区：[1]山东省聊城市退役军人医院康复医学科,山东聊城252000

出　　处：《中国伤残医学》2024年第23期50-53,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨低频脉冲电疗法联合目标导向性康复干预在脑卒中患者中的应用价值。方法:选取2023年1月—12月聊城市退役军人医院收治的94例脑卒中患者为研究对象,采用随机数字表法将其分为对照组和研究组,各47例。对照组在基础康复干预的基础上采用目标导向性康复干预,研究组在对照组基础上采用低频脉冲电疗法干预。两组均连续干预4周。比较两组神经功能、肢体肌力、运动能力、平衡功能及血流动力学指标。结果:干预后,两组美国国立卫生研究院卒中量表评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.05)。干预后,两组Lovett肌力分级上、下肢体肌力评分均高于干预前,且研究组均高于对照组,差异均有统计学意义(P<0.05)。干预后,两组Berg平衡量表评分、Fugl-Meyer运动功能量表评分均高于干预前,且研究组高于对照组,差异均有统计学意义(P<0.05)。干预后,研究组脑动脉阻力指数低于对照组,平均血流速度快于对照组,差异均有统计学意义(P<0.05)。结论:低频脉冲电疗法联合目标导向性康复干预应用于脑卒中患者的治疗中可促进神经功能的恢复,提升患者的肢体肌力、运动能力与平衡能力,改善血流动力学指标。Objective:To investigate the application value of low frequency pulse electrotherapy combined with target-oriented rehabilitation intervention in patients with stroke.Methods:A total of 94 stroke patients admitted to Liaocheng Retired Military Hospital from January to December 2023 were selected as the research subjects and randomly divided into a control group and a study group,with 47 cases in each group.The control group received target-oriented rehabilitation intervention on the basis of basic rehabilitation intervention,and the study group received low-frequency pulse electrotherapy intervention on the basis of the control group.Both groups were treated continuously for 4 weeks.Nerve function,limb muscle strength,motor ability,balance function and hemodynamic indexes were compared between the two groups.Results:After intervention,the scores of the National Institutes of Health Stroke Scale in both groups were lower than before intervention,and the study group was lower than the control group,with statistical significance(P<0.05).After intervention,the muscle strength scores of upper and lower limbs of lovett muscle strength grading standard in both groups were higher than before intervention,and the study group was higher than the control group,with statistical significance(P<0.05).After intervention,the scores of Berg Balance Scale and Fugl-Meyer Assessment Scale in both groups were higher than before intervention,and the study group were higher than the control group,with statistical significance(P<0.05).After intervention,the cerebral artery resistance index of the study group was lower than that of the control group,and the average blood flow velocity was faster than that of the control group,with statistical significance(P<0.05).Conclusion:The application of low frequency pulse electrotherapy combined with target-oriented rehabilitation intervention in the treatment of stroke patients can promote the recovery of nerve function,improve the muscle strength,motor ability and balance ability of the limbs of

关 键 词：脑卒中 康复干预 低频脉冲电疗法 神经功能 肢体功能 

分 类 号：R743[医药卫生—神经病学与精神病学]