神经肌肉电刺激治疗周围神经损伤的研究进展

RESEARCH ADVANCE OF TREATMENT OF PERIPHERAL NERVE INJURY WITH NEUROMUSCULAR ELECTRIC STIMULATION

目的综述国内外应用神经肌肉电刺激(neurom uscular electrical stimulation,NMES)治疗周围神经损伤的机制、参数选择、临床应用等研究进展。方法检索近年来NMES治疗周围神经损伤的国内外相关文献,综述分析相关研究进展。结果NMES治疗周围神经损伤应在个体化参数、合适刺激方式下早期应用,具有促进神经再生、预防肌肉萎缩的作用。结论NMES临床应用安全、有效,植入式电刺激有望成为治疗神经断裂伤的较佳选择。

Objective To review researches of treatment of peripheral nerve injury with neuromuscular electrical stimulation （NMES） regarding mechanism,parameters,and clinical application at home and abroad. Methods The latest original literature concerning treatment of peripheral nerve injury with NMES was extensively reviewed. Results NMES should be used under individual parameters and proper mode of stimulation at early stage of injury. It could promote nerve regeneration and prevent muscle atrophy. Conclusion NMES plays an important role in clinical application of treating peripheral nerve injury,and implantable stimulation will be the future.