神经肌肉治疗仪对急性缺血性脑卒中患者肢体偏瘫的疗效观察

Clinical observation of neuromuscular therapeutic apparatus on hemiplegia patients with acute ischemic stroke

目的探讨神经肌肉治疗仪对急性缺血性脑卒中患者肢体偏瘫的疗效及日常生活能力（ADL）的影响。方法选取2010年1月~2013年1月在我科治疗的急性缺血性脑卒中肢体偏瘫患者360例为观察组,选取同期我科收治的360例急性缺血性脑卒中肢体偏瘫患者为对照组。对照组患者进行常规治疗,观察组患者在此基础上采用神经肌肉治疗仪治疗。对两组患者的治疗效果进行比较,并于入院时和治疗1个疗程后采用Barthel指数进行日常生活活动能力评定并比较。结果观察组有效率为93.33%,对照组有效率为76.66%,差异有统计学意义（P〈0.05）;观察组Barth指数明显优于对照组（P〈0.05）。结论神经肌肉治疗仪有助于急性缺血性脑卒中患者偏瘫肢体神经功能恢复和再生功能,促进患肢血液及淋巴液循环,加快患肢的康复,改善患者日常生活活动能力（ADL）和提高其独立性。

Objective To explore the effect and the influence of activity of daily life（ADL） of neuromuscular therapeutic apparatus on hemiplegia patients with acute ischemic stroke. Methods 360 hemiplegia patients with acute ischemic stroke in our department from January, 2010 to January, 2013 were chose as observation group, 360 hemiplegia patients with acute ischemic stroke in our department during the same time were chose as control group. Patients in control group were treated with traditional therapy, on this basis, patients in observation group were treated with neuromuscular therapeutic apparatus. The therapeutic effects were compared between two groups. Barthel index at admission and after one course of treatment were evaluated and compared. Results The effective rate of observation group was 93.33%, the effective rate of control group wes 76.66%, the difference was statistically significant（P 0.05）. The Barthel index in observation group was obviously better than control group＇s（P 0.05）. Conclusion Neuromuscular therapeutic apparatus is help for neural functional recovery and nerve regeneration of hemiplegia patients with acute ischemic stroke. It could promote the blood and lymphatic fluid circulation of affected limbs. It could speed the recovery of affected limbs and improve the ADL of patients and their independence.