经皮穴位电刺激配合康复锻炼干预方案对危重症多发性神经病患者下肢运动功能的改善效果
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摘要
目的探讨经皮穴位电刺激配合康复锻炼干预方案对患者下肢运动功能的改善效果。方法选取2017年1月～2018年5月我院收治的CIP患者59例,按照随机数字表法分为对照组(n=29)和观察组(n=30)。对照组接受常规护理锻炼干预方案治疗,观察组接受经皮穴位电刺激配合康复锻炼干预方案治疗,比较两组干预前后下肢运动功能评分(FMA)、Holden步行功能分级(FAC)以及10M最大步行速度(10MWT)。结果观察组干预1、2、4周的FMA得分和FAC分级均高于对照组,差异具有统计学意义(P <0.05);观察组干预2、4周的10MWT高于对照组,差异具有统计学意义(P <0.05)。结论经皮穴位电刺激配合康复锻炼干预方案可使CIP患者的下肢运动功能得到有效改善,值得进一步推广应用。
Objective To explore the improvement effect of transcutaneous electrical point stimulation combined with rehabilitation exercise intervention program on lower extremity motor function in patients with critical illness polyneuropathy. Methods 59 CIP patients who were admitted and treated in our hospital from January 2017 to May 2018 were selected. According to the random number table method,they were divided into the control group(n=29) and the observation group(n=30).The control group was treated with routine nursing exercise intervention program while the observation group was treated with transcutaneous electrical point stimulation combined with rehabilitation exercise intervention program.The lower extremity motor function score(FMA),the Holden walking function grading(FAC) and the 10 M maximum walking speed(10MWT) of two groups were compared before and after intervention. Results The FMA score and FAC grade of 1 week,2 weeks and 4 weeks of intervention in the observation group were higher than those of the control group,and the difference was statistically significant(P < 0.05).The 10 MWT of the observation group was higher than that of the control group at 2 and 4 weeks after intervention,and the difference was statistically significant(P < 0.05). Conclusion Transcutaneous electrical point stimulation combined with rehabilitation exercise intervention program can effectively improve lower extremity motor function of CIP patients,which is worthy of further promotion and application.
Objective To explore the improvement effect of transcutaneous electrical point stimulation combined with rehabilitation exercise intervention program on lower extremity motor function in patients with critical illness polyneuropathy. Methods 59 CIP patients who were admitted and treated in our hospital from January 2017 to May 2018 were selected. According to the random number table method,they were divided into the control group(n=29) and the observation group(n=30).The control group was treated with routine nursing exercise intervention program while the observation group was treated with transcutaneous electrical point stimulation combined with rehabilitation exercise intervention program.The lower extremity motor function score(FMA),the Holden walking function grading(FAC) and the 10 M maximum walking speed(10MWT) of two groups were compared before and after intervention. Results The FMA score and FAC grade of 1 week,2 weeks and 4 weeks of intervention in the observation group were higher than those of the control group,and the difference was statistically significant(P < 0.05).The 10 MWT of the observation group was higher than that of the control group at 2 and 4 weeks after intervention,and the difference was statistically significant(P < 0.05). Conclusion Transcutaneous electrical point stimulation combined with rehabilitation exercise intervention program can effectively improve lower extremity motor function of CIP patients,which is worthy of further promotion and application.
引文
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[12]韩晓琛,姚生.慢性炎性脱髓鞘性多发性神经根神经病合并糖尿病的研究进展[J].北京医学,2016,38(5):471-473.
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[15]赵东红,王可人,张海宁,等.慢性炎症性脱髓鞘性多发性神经病多节段神经电生理研究[J].中风与神经疾病杂志,2015,32(1):45-47.
[2]付有春.慢性炎性脱髓鞘性多发性神经根神经病神经系统的康复与治疗[J].中国卫生标准管理,2018,9(3):63-65.
[3]董莎,胡凌娟,辛祺亮,等.中医治疗儿童慢性炎症性脱髓鞘性多发性神经病1例[J].世界中医药,2018,13(1):138-141.
[4]李建树.热敏灸治疗2型糖尿病多发性神经病变31例[J].中医研究,2017,30(11):61-62.
[5]胡玉波,孔维涛.慢性炎性脱髓鞘性多发性神经根神经病神经系统的康复与治疗[J].河南医学研究,2017,26(18):3327-3328.
[6]伍学瀚.中西医结合治疗糖尿病多发性周围神经病变34例临床观察[J].内蒙古中医药,2017,36(10):51-52.
[7]A.Hiwatashi,O.Togao,K.俞璐.慢性炎性脱髓鞘性多发性神经病的评价:inkedrest-tissue快速采集弛豫增强成像(3DSHINKEI)显示3D神经鞘信号增强[J].国际医学放射学杂志,2017,40(2):235.
[8]王银霞,张国华,齐晓飞,等.急性炎性脱髓鞘性多发性神经病的病情严重程度及预后分析[J].内蒙古医科大学学报,2017,39(1):64-69.
[9]马松涛,邱庆虎,王科,等.经皮穴位电刺激预防髋膝关节置换术后深静脉血栓的疗效观察[J].中国中医骨伤科杂志,2018,26(3):31-35.
[10]杨颖颖.慢性炎症性脱髓鞘性多发性神经病的神经电图与肌电图研究[J].中国卫生标准管理,2016,7(21):34-35.
[11]路玫,李昆珊,王佳丽.针刺治疗糖尿病患者肢体远端对称性多发性周围神经病变:随机对照研究[J].中国针灸,2016,36(5):481-484.
[12]韩晓琛,姚生.慢性炎性脱髓鞘性多发性神经根神经病合并糖尿病的研究进展[J].北京医学,2016,38(5):471-473.
[13]罗礼文,吴洪毅,郑文富.慢性炎症性脱髓鞘性多发性神经病不同方案治疗对比[J].包头医学院学报,2016,32(1):65-66.
[14]张凤媛.急性炎症性脱髓鞘性多发性神经病临床治疗探讨[J].中外医疗,2015,34(13):56-57.
[15]赵东红,王可人,张海宁,等.慢性炎症性脱髓鞘性多发性神经病多节段神经电生理研究[J].中风与神经疾病杂志,2015,32(1):45-47.