超声扫描并电刺激改善偏瘫患者运动功能和能力的观察

Improvement of motor function in hemiplegic patients by ultrasound scanning of cerebrovasculature and electrostimulation of affected limbs

目的 观察脑血管超声扫描并患肢电刺激 ,对脑卒中患者偏瘫侧上下肢运动功能和日常生活活动能力恢复的影响。方法 选择经头颅CT证实的脑梗死或脑出血患者 148例 ,随机分为康复组和对照组。两组患者均接受药物常规治疗 ,康复组还接受脑血管超声扫描并电刺激治疗。结果 康复组运动功能及日常生活活动 (ADL)恢复明显优于对照组 (P <0 .0 1) ,神经功能缺损减少程度康复组也明显优于对照组 (P <0 .0 1)。结论 在药物治疗的基础上 ,应用脑血管超声扫描并患肢电刺激能明显改善运动功能 ,更有效地恢复生活自理能力。

Objective To observe the effects of ultrasound scaning of cerebral vasculature and electrostimulation of the affected limbs on motor function and recovery of daily physical activities in hemiplegic patients. Methods 148 patients with cerebral infarction or after stroke confirmed by brain CT were randomly divided into rehabilitation. and control groups. Both groups were given conventional therapy, but with the addition of ultrasound scanning of cerebral vasculature and electrostimulation treatment in the rehabilitation group. Motor function and daily physical activities were assessed by Brunnstrom and Barthel Indices respectively. Results Recovery of Motor function and daily phyxical activities in the rehabilitation group were superior to those of the control group ( P <0.01),The reduction in degree of nerve function defect was also less in rehabilitation group ( P< 0.01). Conclusion adoption of the above two measures could improve significantly the motor function and the ability of self management.(Shanghai Med J, 2001,24∶156)