缺血性脑卒中不同期脑循环功能治疗仪疗效分析

Evaluation on the clinical effects for asynchronous cerebral arterial thrombosis with treatment of cerebral circulation therapeutic equipment

目的:探讨缺血性脑卒中不同病期脑循环功能治疗仪对疾病功能康复、引发卒中因素及脑血流的影响。方法:将脑卒中患者分为治疗组和对照组,治疗组在常规药物治疗基础上加用脑循环功能治疗仪,对脑卒中不同病期的患者进行治疗。采用神经功能缺损评分、对卒中危险因素可控情况及TCD测定颈内动脉、椎动脉血流变化,评价治疗组和对照组脑循环功能治疗仪治疗的有效性、可行性。结果:不同脑卒中分期中治疗组经治疗后急性期神经功能缺损评分显著低于对照组(t=-13.26,P<0.05);且卒中引发因素血压、胆固醇水平较对照组下降显著(t=7.39,t=7.75,P<0.05),治疗组治疗后脑血流与对照组相比其在左、右颈内A和左、右椎动脉部分的Vd、Vs、Vm的血流量增加。结论:脑卒中在药物治疗的基础上加用脑循环功能治疗仪电刺激康复治疗更加便捷、经济、安全和有效,适用于脑卒中各期伴有高血压、胆固醇增高的患者。

Objective： To investigate the effect about the treatment in asynchronous cerebral arterial thrombosis of cerebral circulation therapeutic equipment with disease function rehabilitation and the trigger factor of stroke and cerebral blood flow in 108 cases. Methods： Treatment group on the basis of conventional drug treatment plus brain circulation function therapeutic apparatus （KJ-3000-a） treatment in patients with stroke in different disease period. Using the neural function defect score and controllable risk factors of stroke and TCD determination of internal carotid artery and vertebral artery blood flow changes in evaluation of cerebral circulation function therapeutic equipment therapy in treatment group and control group is effective and feasible. Results： Different stages of stroke treatment group after treatment of acute phase of the neural function defect score in the control group （t = -13.26, P 〈 0.05）, and factors caused troke such as blood pressure and cholesterol leels also declined significantly than control group （t = 7.39, t=7.75, P 〈 0.05）, cerebral blood flow between treatment group and the control group after treatment mainly reflected in the increased blood flow of part of left and right internal carotid artery and Vertebral Artery ,as Vd, Vs and Vm. Conclusion： Against the illness severity stroke with drug therapy on the basis of brain circulation function therapeutic instrument to stimulate rehabilitation treatment is convenient, economic, safe, effective, can be applied to stroke periods with high blood pressure, cholesterol levels, but acute stage used the best, after post-stroke patients vital center smoothly, can take early used cerebral circulation function therapeutic equipment for rehabilitation.