摘要
目的 研究早期康复训练（ERP）联合神经肌肉电刺激（NMES）对98例脑出血偏瘫患者的临床疗效观察。方法 选择2012年7月至2013年7月在内蒙古医科大学附属医院进行治疗的脑出血偏瘫患者98例，其中男性58例，女性40例；年龄29 ～ 77岁，平均年龄55.9岁。以数字法随机分成观察组（50例）及对照组（48例）。对照组实施常规治疗及患者自我锻炼方案，观察组在此基础上另予以ERP联合NMES方案治疗，1个月后对比2组疗效情况及治疗前后的格拉斯哥昏迷量表（GCS）评分情况。通过电话随访的方式对所有患者随访1年，评价远期疗效。结果 观察组总有效率为98.00 %（49/50），显著高于对照组83.33 %（40/48），差异有统计学意义（P 〈 0.05）。两组在治疗后GCS评分均有显著改善，但观察组治疗后GCS评分显著高于对照组，差异均有统计学意义（均P 〈 0.05）。观察组随访3个月和6个月时总有效率均为98.00 %，随访1年时总有效率为10.00 %，均分别显著高于对照组（83.33 %、85.42 %、87.50 %），差异均有统计学意义（P 〈 0.05）。结论 对脑出血合并偏瘫患者实施ERP联合NMES治疗，能够使患者获得较好预后，值得临床推荐。
Objective To study clinical efficacy observation of early rehabilitation practice（ERP） combined neuromuscular electrical stimulation（NMES） on 98 cases of cerebral hemorrhage hemiplegia patients. Methods A total of 98 patients with cerebral hemorrhage hemiplegia were enrolled, which included 58 males and 40 females, aged 29- 77 years old with mean age of 55.9 years old. All of them were divided into observation group（n = 50） and control group（n = 48） by digital randomly. The control group was performed by conventional treatment and patient self-training program, the observation group were performed by ERP combined NMES on the basis of control treatment. After 1-month, the treatment efficacy and Glasgow coma scale（GCS）score before and after treatment between 2 groups were compared, and the long-term effect after 1-year by telephone follow-up was evaluated. Results The total effective rate in observation group was 98.00 %（49/50）, which was significantly higher than that in control group [83.33 %（40/48）], the difference was statistically significant（P 0.05）. After treatment, the GCS score in these two groups were significantly improved, and GCS score after treatment in observation group was significantly higher than that in control group, and the differences was statistically significant（P 0.05）. The total effective rate was 98.00 % at follow-up 3-month and 6-month in observation group, and total efficiency was 100.00 % after 1-year, which was respectively significantly higher than that of control group（83.33 %, 85.42 % and 87.50 %）, the differences were statistically significant（P 0.05）. Conclusion It is demonstrated that ERP combined with NMES treatment for cerebral hemorrhage hemiplegia patients could obtain better prognosis, so it is worthy of recommendation.
出处
《生物医学工程与临床》
CAS
2015年第5期504-507,共4页
Biomedical Engineering and Clinical Medicine
关键词
早期康复训练
神经肌肉电刺激
脑出血偏瘫
临床疗效
early rehabilitation practice neuromuscular electrical stimulation cerebral hemorrhage hemiplegia clinical efficacy
