经皮神经肌肉电刺激治疗周围神经损伤的临床研究

Clinical Study of Percutaneous Neuromuscular Electrical Stimulation in the Treatment of Peripheral Nerve Injury

目的:研究经皮神经肌肉电刺激治疗周围神经损伤的临床疗效。方法:选取广州市第一人民医院在2020年1月至2021年5月期间收治的62例周围神经损伤患者,用随机数字表法的原则分为对照与观察组,各31例。对照组采用常规治疗,观察组在对照组的基础上给予经皮神经肌肉电刺激治疗,比较两种治疗方法的临床疗效。结果:观察组患者治疗总有效率为93.55 %,高于对照组的74.19 %,差异具有统计学意义(P<0.05)。治疗前两组患者的正中神经、尺神经、桡神经的神经肌电图指标比较,差异无统计学意义(P>0.05);治疗后两组患者的运动神经传导速度和波幅均大于治疗前,运动电位潜伏期均短于治疗前,且观察组患者的运动神经传导速度和波幅均大于对照组,运动电位潜伏期均短于对照组,差异具有统计学意义(P<0.05)。结论:采用经皮神经肌肉电刺激治疗周围神经损伤的总体效果显著。

Objective To study the clinical effect of percutaneous neuromuscular electrical stimulation in the treatment of peripheral nerve injury.Methods A total of 62 patients with peripheral nerve injury who were admitted to Guangzhou First People’s Hospital from January 2020 to May 2021 were selected and divided into control group and observation group according to the principle of random number table,with 31 cases in each group.The control group was given routine treatment,and the observation group was given transcutaneous neuromuscular electrical stimulation on the basis of the control group,and the clinical efficacy of the two treatment methods was compared.Results The total effective rate in the observation group was 93.55%,which was higher than 74.19% in the control group,and the difference was statistically significant (P < 0.05).There was no significant difference in electromyography indexes of median nerve,ulnar nerve and radial nerve between the two groups before treatment (P > 0.05).After treatment,the motor nerve conduction velocity and amplitude of patients in the two groups were higher than those before treatment,and the motor potential latency was shorter than that before treatment,and the motor nerve conduction velocity and amplitude of patients in the observation group were higher than those in the control group,and the motor potential latency was shorter than that in the control group,the differences were statistically significant (P < 0.05).Conclusion The overall effect of percutaneous neuromuscular electrical stimulation for peripheral nerve injury is significant.