神经功能重建治疗仪对脑卒中患者神经功能恢复及血液流变学的应用研究

Application of reconstruction and treatment instrument of neurological function in the recovery of neurological function and hemorheology for patients with stroke

目的:探讨神经功能重建治疗仪对脑卒中患者神经功能恢复及血液流变学的应用研究。方法:选择医院收治的65例脑卒中患者,采用随机数表法将患者分为联合治疗组(33例)和对照组(32例),联合治疗组患者在应用基础药物治疗基础上,进行康复训练联合神经功能重建治疗仪治疗;对照组患者在药物治疗基础上,进行单独康复训练治疗,对比两组患者治疗前、后的临床疗效、神经功能恢复及血液流变学的变化情况。结果:联合治疗组患者临床治疗有效率为96.97%,对照组患者临床治疗有效率为59.38%,两组比较差异有统计学意义(x^2=12.473,P<0.05);治疗后对两组日常生活行为Barthel指数量表、Fug I-Meyer运动功能评分(FMA)法评分比较,其差异均有统计学意义(t=7.632,t=5.693;P<0.05);治疗后联合治疗组患者的血浆粘度、红细胞比积、血小板聚集率、红细胞变形指数、红细胞聚集指数以及纤维蛋白原显著优于对照组患者,差异均具有统计学意义(t=6.859,t=10.263,t=7.626,t=6.623,t=8.257,t=6.003;P<0.05)。结论:神经功能重建治疗仪在治疗脑卒中起到了协同作用,能够有效的治疗脑卒中患者,改善其临床症状,提高患者的肢体运动功能以及生活自理能力,并明显改善患者血液流变学各项指标,取得较好的临床治疗效果。

Objective： To explore the application of EMG and bio-feedback instrument in the recovery of neurological function and hemorheology for patients with stroke. Methods： 65 patients with stroke were enrolled in this study and were randomly divided into combined group （33 cases） and control group （32 cases） as random number table. The patients of combined group were treated by rehabilitation training combined with reconstruction and treatment instrument of neurological function on the basis of basic medicine therapy. The patients of control group were treated only by rehabilitation training on the basis of basic medicine therapy. The clinical effects, the recovery situation of neurological function and the change situation of hemorheology before and after treatment were compared and analyzed. Results： The effective rate of clinical treatment was 96.97% in the combined group and it was 59.38% in the control group, and the difference of effective rate between the two groups was significant （x^2=12.473, P〈0.05）. After treatment, the differences of the daily life behavior Barthel index scale and Fug I -Meyer Assessment （FMA） of motor function score between the two groups were significant （t=7.632, t=5.693; P〈0.05）. Besides, the plasma viscosity, erythrocyte ratio, platelet aggregation rate, erythrocyte deformation index, erythrocyte aggregation index and fibrinogen of combined group were significantly better than control group, and the differences of them were statistically significant （t=6.859, t=10.263, t=7.626, t=6.623, t=8.257, t=6.003; P〈0.05）. Conclusion： The reconstruction and treatment instrument of neurological function make a synergistic effect in the treatment of stroke, and it can effectively treat patient with stroke and improve their clinical symptoms. And it also can enhance the motor function of limbs and the self -help ability, and it can significantly improve each indexes of hemorheology of patients. Therefore, it can achieve the better clinical therapeutic effect.