体外反搏对脑梗死恢复期运动神经功能的疗效观察

Effects of external counterpulsation on motor nerve function in the patients wtih cerebral infarction at recovery stage

目的观察体外反搏治疗方法对脑梗死后3～10月内未能完全恢复的脑梗死患者的临床疗效。方法40例患者随机分为体外反搏组（T组）及继续药物治疗组（C组）各20例，采用大脑皮层运动诱发电位（motorevoked—potential）及日常生活活动能力（ADL）对患者进行治疗前后评测。结果2组一般基线比较无统计学差异，具有可比性，在治疗疗程结束后，T组患者ADL的Barthel指数及运动神经系统功能较C组有明显好转。结论 体外反搏可使脑梗死后较长一段时间内运动神经功能得到改善及恢复。

Objective To investigate the clinical effects of external counterpulsation on motor nerve function in the patients with cerebral infarction at recovery stage （in 3-10 months after initiation of stroke without fully recovery）. Meth- ods Forty patients were randomly divided into group T （ receiving external counterpulsation） and group C （ receiving regu- lar interal medicine） with 20 cases in each group.Motor evoked potentials（MEP） and activities of daily living （ADL） were evalulated before and after treatment. Results There was no significant difference between two groups at baseline.Barthel index as well as motor nerve system function were obviously improved in group T compared with group C after intervention. Conclusions External counterpulsation may be favorable in improving motor nerve function in the patients with cerebral infarction patients at a long period of time.