低频经颅电刺激联合肌力训练对脑卒中后偏瘫患者临床疗效的影响

Clinical Effects of Low Frequency Transcranial Electrical Stimulation Combined with Muscle Strength Training in Patients with Hemiplegia after Stroke

目的:分析低频经颅电刺激联合肌力训练对脑卒中后偏瘫患者临床疗效的影响.方法:选取2020年1月至2022年7月在本院就诊的88例脑卒中后偏瘫患者作为研究对象.按治疗方法不同将其分为观察组(n=45,低频经颅电刺激+肌力训练)和对照组组(n=43,肌力训练).比较两组临床疗效、肢体功能及脑血流.结果:治疗后,观察组总有效率为97.78%(44/45),高于对照组的总有效率86.05%(37/43),差异有统计学意义(P<0.05);观察组上、下肢Fugl-Meyer运动评分高于对照组,差异有统计学意义(P<0.05);观察组大脑前动脉、中动脉、后动脉平均血流速度均高于对照组,差异均有统计学意义(P<0.05).结论:低频经颅电刺激联合肌力训练治疗脑卒中后偏瘫患者疗效更佳,值得推广应用.

Objective:To analyze clinical effects of low-frequency transcranial electrical stimulation combined with muscle strength training in patients with hemiplegia after stroke.Methods:Eighty-eight patients with poststroke hemiplegia treated in our hospital from January 2020 to July 2022 were selected as research objects.According to different treatment methods,they were divided into observation group(n=45,low-frequency transcranial electrical stimulation+muscle strength training)and control group(n=43,muscle strength training).The clinical effect,limb function and cerebral blood flow of the two groups were compared.Results:The total effective rate of the observation group was 97.78%(44/45),which was higher than that of the control group(86.05%)(37/43)(P<0.05).After treatment the scores of Fugl-Meyer motor function assessment scale of upper and lower limbs in the observation group after treatment was higher than that of the control group(P<0.05);The average blood flow velocity of anterior,middle and posterior cerebral arteries was higher than that in the control group(P<0.05).Conclusion:Low-frequency transcranial electrical stimulation combined with muscle strength training has better efficacy in the treatment of patients with hemiplegia after stroke,and is worthy of popularization and application.