经颅直流电刺激联合核心稳定性训练在脑梗死偏瘫患者中的应用效果

Application effect of transcranial direct current stimulation combined with core stability training in cerebral infarction patients with hemiplegia

目的探讨经颅直流电刺激联合核心稳定性训练在脑梗死偏瘫患者中的应用效果。方法选取2019年5月至2021年5月北京小汤山医院收治的98例脑梗死偏瘫患者作为研究对象,按随机数字表法将其分为对照组(49例)与观察组(49例)。对照组患者给予核心稳定性训练,观察组患者在对照组基础上加用经颅直流电刺激,持续4周。比较两组患者干预前后的神经功能缺损程度[美国国立卫生研究院卒中量表(NIHSS)]、平衡能力[Berg平衡量表(BBS)]、运动功能[运动功能评定量表(FMA)]、日常生活能力[Barthel指数(BI)]、生存质量[脑卒中影响量表(SIS)]。结果干预前,两组患者的NIHSS、BBS、FMA、BI、SIS评分比较,差异无统计学意义(P>0.05);干预后,两组患者的NIHSS评分低于干预前,且观察组患者的NIHSS评分低于对照组,差异有统计学意义(P<0.05);干预后,两组患者的BBS、FMA、BI、SIS评分高于干预前,且观察组患者的BBS、FMA、BI、SIS评分高于对照组,差异有统计学意义(P<0.05)。结论经颅直流电刺激联合核心稳定性训练能够减轻脑梗死偏瘫患者神经功能缺损程度,改善平衡能力、肢体运动功能,从而全面提升生存质量。

Objective To explore the application effect of transcranial direct current stimulation combined with core stability training in cerebral infarction patients with hemiplegia.Methods A total of 98 patients with cerebral infarction hemiplegia admitted to Beijing Xiaotangshan Hospital from May 2019 to May 2021 were selected as the research objects,and they were divided into the control group(49 cases)and the observation group(49 cases)according to the random number table method.The control group was given core stability training,and the observation group was given transcranial direct current stimulation on the basis of the control group for four weeks.The degree of neurological deficit(National Institutes of Health stroke scale[NIHSS]),balance ability(Berg balance scale[BBS]),motor function(Fugl-Meyer assessment[FMA]),daily life ability(Barthel index[BI])and quality of life(stroke impact scale[SIS])before and after intervention were compared between the two groups.Results There were no significant differences in NIHSS,BBS,FMA,BI and SIS scores between the two groups before intervention(P>0.05).After intervention,NIHSS scores of the two groups were lower than those before intervention,and NIHSS score of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).After intervention,BBS,FMA,BI and SIS scores of the two groups were higher than those before intervention,and BBS,FMA,BI and SIS scores of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).Conclusion Transcranial direct current stimulation combined with core stability training can reduce the degree of neurological deficit in hemiplegic patients with cerebral infarction,improve balance ability and limb motor function,and comprehensively improve the quality of life.