摘要
目的探讨脑卒中偏瘫患者的治疗中应用神经肌肉电刺激(NMES)治疗仪联合早期康复训练的临床效果。方法80例脑卒中偏瘫患者,以随机数字表法分为观察组(40例,给予NMES治疗仪+早期康复训练)以及对照组(40例,给予常规康复训练)。比较两组临床效果,干预前后各项功能评分[美国国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer运动功能评定量表(FMA)评分、Barthel指数]、心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]。结果观察组临床总有效率97.50%高于对照组的80.00%(P<0.05)。干预后,观察组NIHSS评分(11.09±1.36)分低于对照组的(19.34±1.98)分,FMA评分(64.21±5.59)分以及Barthel指数(69.54±5.30)分均高于对照组的(53.34±5.40)、(60.05±5.03)分(P<0.05)。干预后,观察组SAS评分(31.56±2.68)分、SDS评分(32.34±1.22)分均低于对照组的(38.01±2.60)、(39.41±1.31)分(P<0.05)。结论在脑卒中偏瘫患者的治疗过程中,使用NMES治疗仪联合早期康复训练具有积极作用,能显著促进患者神经功能恢复,增强其运动能力以及日常生活自理能力,此外,还有助于改善患者心理状态,在临床实践中具有重要的应用价值。
Objective To explore the clinical effect of neuromuscular electrical stimulation(NMES)therapeutic apparatus combined with early rehabilitation training in the treatment of patients with stroke hemiplegia.Methods 80 patients with post-stroke hemiplegia were divided into an observation group(40 cases,given neuromuscular electrical stimulation therapy+early rehabilitation training)and a control group(40 cases,given routine rehabilitation training).Both groups were compared in terms of clinical effect,various functional scores[National Institutes of Health Stroke Scale(NIHSS)score,Fugl-Meyer Assessment(FMA)score,Barthel index],psychological states[Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS)score]before and after the intervention.Results The total clinical effective rate of the observation group was 97.50%,which was higher than 80.00%of the control group(P<0.05).After the intervention,the observation group had a lower NIHSS score of(11.09±1.36)points than(19.34±1.98)points in the control group;the observation group had FMA score of(64.21±5.59)points and Barthel index of(69.54±5.30)points,which were higher than(53.34±5.40)and(60.05±5.03)points in the control group(P<0.05).After the intervention,the observation group had SAS score of(31.56±2.68)points and SDS score of(32.34±1.22)points,which were lower than[(38.01±2.60)and(39.41±1.31)points in the control group(P<0.05)].Conclusion In the treatment of patients with poststroke hemiplegia,the combination of NMES therapeutic apparatus and early rehabilitation training has a positive effect,which can significantly promote the recovery of patients'neurological function,enhance their motor ability and daily self-care skills.In addition,it also helps to improve patients'psychological state,which is of great application value in clinical practice.
作者
张敏
张燕
ZHANG Min;ZHANG Yan(Rehabilitation Department,Guangping Central Health Center,Dongchangfu District,Liaocheng 252000,China)
出处
《中国现代药物应用》
2025年第15期142-145,共4页
Chinese Journal of Modern Drug Application
关键词
脑卒中
偏瘫
神经肌肉电刺激
早期康复训练
Stroke
Hemiplegia
Neuromuscular electrical stimulation
Early rehabilitation training
