神经肌肉电刺激对脑卒中患者生活能力及抑郁状态的影响分析

ANALYSIS OF NEUROMUSCULAR ELECTRICAL STIMULATION EFFECT ONSTROKE PATIENTS LIVING ABILITY AND DEPRESSION

目的:探讨神经肌肉电刺激疗法对脑卒中患者日常生活活动能力及抑郁状态的影响作用。方法:根据入院顺序将黑龙江省牡丹江医学院康复科2011年4月至2014年1月收治的95例脑卒中后合并抑郁的患者分为研究组(48例)和对照组(47例)。对照组采用常规康复疗法,研究组在对照组基础上加用神经肌肉电刺激疗法,比较治疗8周后两组的脑梗死和脑出血患者的日常生活活动能力、抑郁症状等指标的改善差异。结果:治疗前研究组和对照组的脑梗死、脑出血患者的NIHSS评分、ADL评分比较差异不显著(P>0.05);治疗8周后,研究组脑梗死、脑出血的NIHSS评分减分率为52.57±12.38、50.51±14.28,AD评分提高率为分别为67.38±15.8、68.96±13.6,均显著高于对照组(P<0.05)。治疗前研究组和对照组的脑梗死和脑出血患者的汉密尔顿抑郁量表(HAMD)评分、功能独立测定量表(FIM)评分比较差异不显著(P>0.05);治疗8周后,研究组的脑梗死和脑出血患者的HAMD评分减分率分别为44.97±11.48、44.94±12.62,FIM评分提高率分别为70.93±17.86、68.42±19.26,均显著高于对照组(P<0.05)。结论:神经肌肉电刺激疗法结合常规康复疗法对脑卒中患者日常生活活动能力及抑郁状态较单用常规康复疗法对患者的日常生活活动能力、抑郁状态有更加显著的改善作用。

Objective： To investigate the effects of neuromuscular electrical stimulation therapy on the activities of daily living ability and depression of stroke patients.Methods： According to the order of admission 95 stroke patients comorbid depression in our hospital from April,2011 to January,2014 in the department of rehabilitation hospital after the patients were divided into study group（ 48 cases） and control group（ 47 cases）. The control group used the conventional rehabilitation therapy,study group used the conventional rehabilitation therapy and the neuromuscular electrical stimulation,improve the difference between the two groups of patients with activities of daily living,depressive symptoms were compared after 8 weeks treatment.Results： Infarction treatment before the study group and the control group,patients with intracerebral hemorrhage NIHSS score,ADL scores were not significant（ P〉 0. 05）; after 8 weeks treatment,the study group cerebral infarction,cerebral hemorrhage NIHSS score less points were 52. 57 ± 12. 38,50. 51 ± 14. 28,ADL score increase rate with 67. 38 ± 15. 8,68. 96 ±13. 6 were significantly higher than control group（ P 〈0. 05）. In patients with cerebral infarction and intracerebral hemorrhage before treatment study group and the control group（ HAMD） HAMD score,functional independence measurement scale（ FIM） scores were not significantly different（ P 〉 0. 05）;after 8 weeks treatment of cerebral infarction Study Group and cerebral hemorrhage HAMD score reduction rate were 44. 97 ± 11. 48,44. 94 ± 12. 62,FIM score improvement rate with 70. 93 ± 17. 86,68. 42 ± 19. 26 were significantly higher than control group（ P 〈0. 05）.Conclusion： Neuromuscular electrical stimulation therapy combined with conventional rehabilitation therapy on stroke patients with activities of daily living ability and depression than single use of conventional rehabilitation therapy has more notable improvement on the activities of daily living,the depressive state of patients.