神经肌肉电刺激疗法对急性脑梗死患者上肢体感诱发电位的影响研究

Influence Studies of Neuromuscular Electrical Stimulation on the Upper Extremity Somatosensory Evoked Potential for Acute Cerebral Infarction Patients

目的分析神经肌肉电刺激疗法用于急性脑梗死(ACI)患者对其上肢体感诱发电位(SEP)的影响。方法选取2020年1月至2022年11月河南科技大学第二附属医院收治的ACI患者共52例进行研究,结合随机数字表法分成对照组(常规疗法)、观察组(在前组基础上加以神经肌肉电刺激疗法)各有26例;观察两组疗效、治疗前后上肢SEP有关指标、Fugl-Meyer运动功能量表(FMA)、神经功能缺损量表(NIHSS)以及改良Barthel指数(MBI)得分情况。结果观察组治疗有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组N9潜伏期、N9波幅、N20潜伏期、N-20波幅等上肢SEP有关指标相比,差异无统计学意义(P>0.05);治疗后,两组N9潜伏期、N20潜伏期较前降低,差异有统计学意义(P<0.05),N9波幅、N-20波幅较前升高,差异有统计学意义(P<0.05),且观察组N9潜伏期、N20潜伏期低于对照组,差异有统计学意义(P<0.05)。N9波幅、N-20波幅高于对照组,差异有统计学意义(P<0.05)。治疗前,两组FMA、NIHSS及MBI评分相比,差异无统计学意义(P>0.05);治疗后,两组FMA、MBI评分较前升高,差异有统计学意义(P<0.05),NIHSS评分较前降低,差异有统计学意义(P<0.05),且观察组FMA、MBI评分高于对照组,差异有统计学意义(P<0.05),NIHSS评分低于对照组,差异有统计学意义(P<0.05)。结论神经肌肉电刺激疗法用于ACI患者疗效理想,能改善其上肢SEP有关指标,提升其肢体运动功能和日常生活能力,减轻其神经功能缺损。

Objective To analyze the influence of neuromuscular electrical stimulation on the upper extremity somatosensory evoked potential(SEP)for acute cerebral infarction(ACI)patients.Methods A total of 52 ACI patients admitted to the Second Affiliated Hospital of Henan University of Science and Technology from January 2020 to November 2022 were selected for the study.According to the random number table method,they were divided into the control group(conventional therapy)and the observation group(neuromuscular electrical stimulation therapy on the basis of the former group),with 26 cases in each group.The curative effect,the indexes of SEP,Fugl-Meyer motor function scale(FMA),National Institutes of Health Stroke Scale(NIHSS)and modified Barthel index(MBI)before and after treatment were observed in the two groups.Results The effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the indexes of SEP of upper limbs such as N9 latency,N9 amplitude,N20 latency and N-20 amplitude between the two groups(P>0.05).After treatment,the N9 latency and N20 latency of the two groups were significantly lower than those before treatment,the differences were statistically significant(P<0.05),and the N9 amplitude and N-20 amplitude were significantly higher than those before treatment,the differences were statistically significant(P<0.05),and the N9 latency and N20 latency of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).N9 wave amplitude and N-20 wave amplitude of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in FMA,NIHSS and MBI scores between the two groups(P>0.05).After treatment,the FMA and MBI scores of the two groups were higher than those before treatment,with significant differences(P<0.05),and the NIHSS score was lower than that before treatment,with significant difference(P<0.05).The FMA and MBI scores of the observation group were higher than those of the control group,with significant differences(P<0.05),and the NIHSS score was lower than that of the control group,with significant difference(P<0.05).Conclusions Neuromuscular electrical stimulation therapy is effective in patients with ACI,which can improve the related indexes of SEP in the upper limbs,improve their limb motor function and daily living ability,and reduce their neurological deficits.