神经肌肉电刺激联合康复训练治疗脑卒中后认知功能障碍的疗效观察

Effect of Neuromuscular Electrical Stimulation Combined with Rehabilitation Training on Cognitive Dysfunction after Stroke

目的探讨对脑卒中后认知功能障碍患者采用超声、激光、神经肌肉电刺激治疗系统联合认知康复训练干预的临床效果.方法选取咸阳市中心医院康复医学科2017年1月—2019年1月期间收治的脑卒中患者72例作为研究对象,按照随机数字表法分为观察组和对照组,观察组在康复训练的基础上加入超声、激光、神经肌肉电刺激治疗系统的头颈处方,对照组病人进行常规康复训练,对比干预效果.结果经过4周治疗后,观察组和对照组患者MOCA、Barthel指数评分均明显提高,且观察组优于对照组,差异有统计学意义(P<0.05).结论在脑卒中患者常规治疗的基础上加入超声、激光、神经肌肉电刺激治疗系统的头颈处方可明显改善患者的认知功能和日常生活活动能力.

Objective To investigate the clinical effect of ultrasound,laser and neurowluscular electrical stimulation combined with cognitive rehabilitation training in patients with post-stroke cognitive impairment.Methods 72 stroke patients admitted to the Department of Rehabilitation Medicine of Xianyang Central Hospital from January 2017 to January 2019 were selected as the research objects,and were divided into an observation group and a control group according to random digital table method.The control group carried out routine rehabilitation training,and on this basis,the observation group added the head and neck prescription of ultrasound,laser,neuromuscular electrical stimulation treatment.The intervention effect of the two groups were compared.Results After 4 weeks treatment,the MOCA and Barthel index score of the observation group and the control group were obviously improved,and the scores of the observation group were better than those of the control group,the differences were statistically significant(P<0.05).Conclusion It is possible to improve the cognitive function and daily life activity of stroke patients by adding ultrasound,laser and neuromuscular electrical stimulation to the head and neck.