低频脉冲电治疗脑卒中偏瘫患者的临床疗效
|
摘要
目的评价低频脉冲电治疗脑卒中偏瘫患者的临床疗效。方法选择我院2017年9月—2018年7月收治的82例脑卒中偏瘫患者作为研究对象,根据临床治疗方案的不同将患者分为观察组与对照组,每组41例,对照组患者给予常规康复治疗,观察组患者在此基础上给予低频脉冲电治疗,观察两组患者的临床疗效,并对两组患者的肢体功能及日常生活能力进行评价。结果观察组患者经低频脉冲电治疗后Barthel指数及FMA评分均优于对照组患者(P <0.05),观察组患者干预后日常生活能力及肢体功能优于对照组患者。观察组患者治疗总有效率为95.1%,高于对照组患者的80.5%,组间差异有统计学意义(P<0.05)。结论采用低频脉冲电治疗脑卒中偏瘫患者能够进一步提高临床疗效,提高患者的肢体功能及日常生活能力,且操作较为简便。
Objective To evaluate the clinical effect of low frequency pulsed electric therapy on hemiplegic patients after stroke. Methods 82 stroke patients with hemiplegia admitted in our hospital from September2017 to July 2018 were divided into observation group and control group according to the different clinical treatment schemes, 41 patients in each group, patients in control group were treated with routine rehabilitation therapy. The patients in the observation group were treated with lowfrequency pulse electric therapy on the basis of the routine rehabilitation therapy. The clinical efficacy of two groups of patients, and two groups of patients with limb function and daily living ability were evaluated.Results The Barthel index and FMA score of the observation group were better than those of the control group(P < 0.05). The ability of daily living and limb function of the observation group were better than those of the control group. The total effective rate was 95.1% in the observation group,which was significantly higher than 80.5% in the control group(P < 0.05).Conclusion Low frequency pulse electric therapy can further improve the clinical efficacy of stroke patients with hemiplegia, improve their limb function and daily living ability, and the operation is simple.
Objective To evaluate the clinical effect of low frequency pulsed electric therapy on hemiplegic patients after stroke. Methods 82 stroke patients with hemiplegia admitted in our hospital from September2017 to July 2018 were divided into observation group and control group according to the different clinical treatment schemes, 41 patients in each group, patients in control group were treated with routine rehabilitation therapy. The patients in the observation group were treated with lowfrequency pulse electric therapy on the basis of the routine rehabilitation therapy. The clinical efficacy of two groups of patients, and two groups of patients with limb function and daily living ability were evaluated.Results The Barthel index and FMA score of the observation group were better than those of the control group(P < 0.05). The ability of daily living and limb function of the observation group were better than those of the control group. The total effective rate was 95.1% in the observation group,which was significantly higher than 80.5% in the control group(P < 0.05).Conclusion Low frequency pulse electric therapy can further improve the clinical efficacy of stroke patients with hemiplegia, improve their limb function and daily living ability, and the operation is simple.
引文
[1]张淑荣.康复理疗训练干预对脑卒中偏瘫患者肢体功能、心理社会功能恢复的影响[J].中国医药指南,2018,16(6):144-145.
[2]张姗姗.对脑卒中偏瘫患者进行综合性神经康复治疗的临床效果评价[J].当代医药论丛,2018,16(5):116-117.
[3]中华医学会神经病学分会脑血管病学组,急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊疗指南[J].中华神经科杂志,2010,43(2):146-153.
[4]梁玉.早期康复训练对急性脑梗死患者功能恢复的影响[J].现代诊断与治疗,2015,26(11):4925-4926.
[5]张敏.低频脉冲电治疗联合穴位按摩对脑卒中偏瘫患者肢体功能的影响[J].蚌埠医学院学报,2016,41(5):676-680.
[6]杨薇,张文越,李洪娟,等.强制性运动疗法配合头针疗法对脑卒中偏瘫病人上肢功能及日常生活能力的影响[J].护理研究,2018,32(5):787-789.
[7]梁亚利,余超,廖瑞松,等.动态扰动结合双跑带运动平板训练对脑卒中偏瘫患者步行能力的影响[J].中国康复医学杂志,2017,32(12):1412-1414.
[8]龙淼.早期康复操对脑卒中偏瘫患者Barthel指数和Fuel-Meyer运动功能及生存质量影响[J].中国全科医学,2017,20(7):322-324.
[9]李玉莲.低频脉冲电治疗改善卒中后吞咽障碍的疗效观察[J].中国临床研究,2015,28(12):1613-1615.
[10]陈舜卿,冯小青.低频脉冲电疗法配合康复训练在脑卒中偏瘫患者治疗中的应用[J].中国校医,2015,29(3):198-201.
[11]林惠,江兴妹,杨少梅.益肾活血汤联合低频脉冲电磁场治疗脑卒中后偏瘫合并骨质疏松症临床研究[J].中国中医药信息杂志,2018,25(6):21-25.
[12]张姗姗,谭继鸿,张安仁,等.药物配合低频脉冲电磁疗治疗老年骨质疏松椎体压缩性骨折疗效观察[J].实用中医药杂志,2016,32(2):137-139.
[13]薛长青,李冬岩.项针结合低频脉冲电刺激治疗脑卒中后吞咽障碍的临床观察[J].中国现代药物应用,2018,12(1):34-35.
[14]戴文敏,丁杰,周稳,等.前交叉韧带重建后肌肉功能恢复中神经肌肉电刺激的应用[J].中国组织工程研究,2015,19(7):1082-1086.
[2]张姗姗.对脑卒中偏瘫患者进行综合性神经康复治疗的临床效果评价[J].当代医药论丛,2018,16(5):116-117.
[3]中华医学会神经病学分会脑血管病学组,急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊疗指南[J].中华神经科杂志,2010,43(2):146-153.
[4]梁玉.早期康复训练对急性脑梗死患者功能恢复的影响[J].现代诊断与治疗,2015,26(11):4925-4926.
[5]张敏.低频脉冲电治疗联合穴位按摩对脑卒中偏瘫患者肢体功能的影响[J].蚌埠医学院学报,2016,41(5):676-680.
[6]杨薇,张文越,李洪娟,等.强制性运动疗法配合头针疗法对脑卒中偏瘫病人上肢功能及日常生活能力的影响[J].护理研究,2018,32(5):787-789.
[7]梁亚利,余超,廖瑞松,等.动态扰动结合双跑带运动平板训练对脑卒中偏瘫患者步行能力的影响[J].中国康复医学杂志,2017,32(12):1412-1414.
[8]龙淼.早期康复操对脑卒中偏瘫患者Barthel指数和Fuel-Meyer运动功能及生存质量影响[J].中国全科医学,2017,20(7):322-324.
[9]李玉莲.低频脉冲电治疗改善卒中后吞咽障碍的疗效观察[J].中国临床研究,2015,28(12):1613-1615.
[10]陈舜卿,冯小青.低频脉冲电疗法配合康复训练在脑卒中偏瘫患者治疗中的应用[J].中国校医,2015,29(3):198-201.
[11]林惠,江兴妹,杨少梅.益肾活血汤联合低频脉冲电磁场治疗脑卒中后偏瘫合并骨质疏松症临床研究[J].中国中医药信息杂志,2018,25(6):21-25.
[12]张姗姗,谭继鸿,张安仁,等.药物配合低频脉冲电磁疗治疗老年骨质疏松椎体压缩性骨折疗效观察[J].实用中医药杂志,2016,32(2):137-139.
[13]薛长青,李冬岩.项针结合低频脉冲电刺激治疗脑卒中后吞咽障碍的临床观察[J].中国现代药物应用,2018,12(1):34-35.
[14]戴文敏,丁杰,周稳,等.前交叉韧带重建后肌肉功能恢复中神经肌肉电刺激的应用[J].中国组织工程研究,2015,19(7):1082-1086.