神经肌肉电刺激同步反复促通疗法联合治疗对卒中后偏瘫手功能的影响

Effect of combination of neuromuscular electrical stimulation and repetitive facilitative exercise on hand function in post-stroke hemiplegia

目的观察神经肌肉电刺激(NMES)同步反复促通疗法(RFE)联合治疗对卒中后偏瘫手功能的影响。方法选取2022年1月至2023年8月北京博爱医院收治的卒中恢复期偏瘫患者30例为研究对象,随机分为对照组与试验组,每组15例。在常规治疗基础上,对照组采用神经肌肉电刺激治疗,试验组采用神经肌肉电刺激同步反复促通疗法联合治疗,共4周。观察两组患者Fugl-Meyer评定量表上肢部分(FMA-UE)、简易上肢功能检查(STEF)及改良Barthel指数(MBI)的变化,比较两组的治疗效果。结果治疗4周后,两组在FMA-UE、STEF和MBI评分上均较治疗前显著改善(均P<0.001);且试验组在三项评分上均显著优于对照组(均P<0.05)。结论神经肌肉电刺激同步反复促通疗法联合治疗可改善卒中恢复期偏瘫患者手功能和日常生活活动能力。

Objective To observe the effect of neuromuscular electrical stimulation(NMES)combined with repeated stimulation therapy(RFE)on the function of hemiplegic hand after stroke.Methods From January 2022 to August 2023,a total of 30 patients with hemiplegia during the convalescent period of stroke in Beijing Boai Hospital were randomly divided into the control group and the experimental group with 15 cases in each group.On the basis of conventional treatment,the control group was treated with NMES,and the experimental group was treated with NMES synchronous RFE for a total of 4 weeks.The changes of Fugl-Meyer Rating Scale Upper limb(FMA-UE),simple upper limb function test(STEF)and modified Barthel index(MBI)were observed between the two groups,and the therapeutic effect was compared between the two groups.Results After 4 weeks of treatment,FMA-UE,STEF and MBI scores in both groups were significantly improved compared with those before treatment(all P<0.001).The experimental group was significantly better than the control group in three scores(all P<0.05).Conclusion NMES combined with RFE can improve the hand function and daily living ability of hemiplegia patients during the convalescence of stroke.