电子生物反馈对急性脑梗死上肢体感诱发电位的影响研究

Effect of Electronic Biofeedback on Upper Limb Sensory Evoked Potentials in Patients with Acute Cerebral Infarction

目的探究电子生物反馈对急性脑梗死患者上肢体感诱发电位(SEP)的影响。方法于2020年2月至2022年2月采用随机数字表法将106例急性脑梗死患者分为参照组(康复治疗)和试验组(电子生物反馈治疗)各53例,测定两组干预前后的SEP参数、运动功能(FMA)、神经功能缺损(NIHSS)、平衡能力(BBS)、功能性步行量表(FCA)以及上肢肌力,比较两组治疗结果。结果干预前两组SEP参数无差异(P>0.05),干预后试验组N9波幅、N20波幅均高于参照组(P<0.05),N9潜伏期、N20潜伏期均低于参照组(P<0.05),干预前两组FMA、NIHSS、BBS、FCA无差异(P>0.05),干预后试验组FMA、BBS、FCA高出参照组,但NIHSS低于参照组(P<0.05),试验组Ⅰ级、Ⅱ级发生率低于参照组,但Ⅲ级、Ⅳ级、V级发生率高出参照组(P<0.05)。结论电子生物反馈可显著患者偏瘫侧上肢SEP,促进肢体肌力与平衡能力增强,改善神经功能,使得运动能力恢复,值得应用。

Objective To explore the effect of electronic biofeedback on upper limb sensory evoked potential(SEP)in patients with acute cerebral infarction.Methods From February 2020 to February 2022,106 acute cerebral infarction patients were divided equally into reference group(rehabilitation treatment)and experimental group(electronic biofeedback treatment),measured SEP parameters,motor function(FMA),neurological deficit(NIHSS),balance ability(BBS),functional walking scale(FCA)and upper limb muscle strength in the two groups,and compared the treatment results between the two groups.Results There was no difference in SEP parameter between the two groups before the intervention(P>0.05).Both N9 and N20 in the intervention group were higher than the reference group(P<0.05).The N9 and N20 were lower than the reference group(P<0.05).There was no difference in FMA,NIHSS,BBS,and FCA before the two intervention groups(P>0.05),after the intervention,FMA,BBS and FCA were higher than the reference group.However,the NIHSS was lower than the reference group(P<0.05),the incidence of grade I and grade was lower in the reference group.However,the incidence of Grade III,Grade and Grade V was higher than that of the reference group(P<0.05).Conclusion Electronic biofeedback can significantly promote the SEP in the upper limb of hemiplegia,promote the enhancement of limb muscle strength and balance ability,improve nerve function,and make the recovery of motor ability,which is worthy of application.