CCFES结合神经肌肉关节促进法在降低脑梗死偏瘫患者患侧上肢肌张力中的临床研究  

Clinical Study of CCFES Combined with Neuromuscular Joint Facilitation in Reducing Muscle Tone of the Affected Upper Limb in Hemiplegic Patients with Cerebral Infarction

作　　者：陆立威 朱东晖 孟婷 宓海明 侯宇航 俞洁 LU Liwei;ZHU Donghui;MENG Ting;MI Haiming;HOU Yuhang;YU Jie(Department of Rehabilitation Medicine,Shanghai Electric Power Hospital,Shanghai 200050,China)

机构地区：[1]上海电力医院康复医学科,上海200050

出　　处：《中国医药指南》2025年第9期110-113,共4页Guide of China Medicine

摘　　要：目的研究对侧控制功能性电刺激(CCFES)结合神经肌肉关节促进法(NJF)在降低脑梗死偏瘫患者患侧上肢肌张力中的临床效果。方法选取2023年11月至2024年8月上海电力医院收治的脑梗死偏瘫患者60例,采用随机摸黄粉球的方式分为观察组(30例)和对照组(30例),其中对照组采用常规上肢康复干预,观察组在对照组的基础上采用NJF技术联合CCFES干预。采用改良Ashworth痉挛分级量表(MAS)比较两组患者患侧上肢肌张力情况;Brunnstrom分期评估两组患者上肢运动功能情况;Barthel指数评估患者的日常生活活动能力;肩关节被动活动范围评定量表(PROM)评估患者肩关节活动度。结果与干预前相比,两组患者患侧上肢的MAS分级评分均下降,且观察组患侧上肢的MAS分级评分低于对照组(P<0.05)。观察组的Brunnstrom分期表现优于对照组(P<0.05)。干预前相比,两组患者的Barthel指数总分及PROM量表评分均上升,且观察组的评分高于对照组(P<0.05)。结论应用CCFES和NJF技术相结合的治疗,能有效降低脑梗死偏瘫患者患侧上肢的肌张力,并能够显著提高上肢的运动能力和日常生活自理能力,同时还能增加肩关节的活动范围。Objective To investigate the clinical effect of contralateral controlled functional electrical stimulation(CCFES)combined with neuromuscular joint facilitation(NJF)in reducing muscle tone of the affected upper limb in patients with cerebral infarction hemiplegia.Methods Sixty patients with cerebral infarction and hemiplegia admitted to Shanghai Electric Power Hospital from November 2023 to August 2024 were selected and divided into observation group(30 cases)and control group(30 cases)by randomly touching yellow powder balls.The control group received conventional upper limb rehabilitation intervention,while the observation group received NJF technique combined with CCFES intervention.The Modified Ashworth Spasticity Scale(MAS)was used to compare the muscle tone of the affected upper limb between the two groups.The Brunnstrom staging was used to evaluate the upper limb motor function of the two groups.The Barthel Index was used to assess the activities of daily living of patients.The Passive Range of Motion Scale(PROM)of the shoulder joint was used to evaluate the range of motion of the shoulder joint of patients.Results Compared with those before the intervention,the MAS grading scores of the affected upper limbs of the two groups of patients decreased significantly,and the MAS grading score of the affected upper limb of the observation group was lower than that of the control group(P<0.05).The Brunnstrom staging of the observation group was superior to that of the control group(P<0.05).The total scores of the Barthel Index and the scores of the PROM scale of the two groups of patients increased significantly compared with those before the intervention,and the scores of the observation group were higher than those of the control group(P<0.05).Conclusions The combination of CCFES and NJF technology can effectively reduce the muscle tone of the affected upper limb in patients with cerebral infarction hemiplegia,and can significantly improve the motor ability of the upper limb and the ability to take care of themse

关 键 词：神经肌肉关节促进法 对侧控制型功能性电刺激 脑梗死偏瘫 上肢肌张力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]