50Hz电刺激手指伸肌腱对脑卒中后患者手功能障碍的疗效观察

Clinical Observation on 50 Hz Frequency of Electricity Stimulating Finger Extensor Tendon for Hand Dysfunction Caused by Incident Storke

[目的]观察50Hz电刺激手指伸肌腱对脑卒中后手功能障碍的改善情况。[方法]将67例确诊为脑卒中后手功能障碍的患者随机分为治疗组33例和对照组34例,对照组给予Bobath法手功能康复训练,治疗组在康复训练的基础上给予50Hz电刺激患侧手指伸肌腱治疗,1周5次,共治疗4周,分别于治疗前后对患者进行Fugl-Meyer手功能部分评分及改良Barthel指数评分,对数据进行统计分析。[结果]治疗后,两组的FuglMeyer手功能部分评分及改良Barthel指数评分较治疗前均明显提高,差异有统计学意义(P<0.01),同时治疗组的两项评分均明显高于对照组,差异具有统计学意义(P<0.01)。[结论]50Hz电刺激手指伸肌腱能明显改善脑卒中后手功能情况,提高患者日常生活能力,值得临床推广应用。

[Objective] To study the effect of 50 hz frequency of electricity stimulating finger extensor tendon for hand dysfunction caused by incident storke.[Methods] 67 cases diagnosed as hand dysfunction of incident storke patients randomly divided into treatment group and control group（33 cases in treatment group, 34 cases in control group）. The control group was given Bobath method for hand function recovery training. The treatment group was given 50 hz frequency of electricity stimulating finger extensor tendon on the basis of Bobath rehabilitation treatment, 5 times every week, for 4 weeks. Evaluate patients＇ symptoms improvement, before and after, with Fugl-Meyer grade（hand part） and modified Barthel index evaluation, and then make statistical analysis of the results. [Result] After the treatment,the grades, Fugl-Meyer grade（hand part） and modified Barthel index, of two groups both increased significantly, with statistical significance（P〈0.01）; Both of the grades of treatment group were significantly higher than that of control group, with statistical significance（P〈0.01）.[Conclusion] 50 hz electrical stimulating finger extensor tendon can significantly improve hand dysfunction caused by incident storke, improve their abilities of daily life.