高频外周磁刺激治疗36例脑卒中患者足内翻的疗效观察

Therapeutic effect of high frequency peripheral magnetic stimulation on treatment of foot varus in 36 patients with stroke

目的观察高频外周磁刺激腓骨长短肌治疗脑卒中足内翻的临床疗效。方法选取2017年6月—2018年1月在郑州大学第二附属医院神经康复科脑卒中足内翻患者36例,按照随机数字表法分为观察组(n=18)和对照组(n=18),连续高频外周磁刺激腓骨长短肌治疗四周,观察患者足主动背屈外翻的角度及外翻的疗效。结果治疗后两组患者足主动外翻的角度及外翻的疗效判定与治疗前相比均有所提高,但观察组的主动背曲外翻的主动关节活动范围及疗效判定显著高于对照组。结论采用高频外周重复磁刺激腓骨长短肌治疗脑卒中后足下垂内翻,有利于改善其下垂内翻情况,改善患者步行的稳定性,提高其生活质量,无不良反应,安全性好。

Objective To observe the clinical effect of high frequency peripheral magnetic stimulation of humerus Peroneus longus and Peroneus brevis in the treatment of stroke foot varus.Methods Totally 36 cases of stroke varus in the Department of Neurorehabilitation of the Second Affiliated Hospital of Zhengzhou University from June 2017 to January 2018.According to the random number table method,it was divided into observation group(n=18)and control group(n=18).Continuous high-frequency peripheral magnetic stimulation of the humerus long and short muscles for four weeks,observe the patient’s foot active dorsiflexion angle and the effect of eversion.Results After treatment,the angle of active valgus and the effect of eversion in both groups were improved compared with those before treatment.However,the active joint range and effect of active orthostatic valgus in the observation group were significantly higher than those in the control group.(P<0.05).Conclusion The use of high-frequency peripheral repetitive magnetic stimulation of the humerus long and short muscles to treat the ptosis of the foot after stroke is beneficial to improve the sagging varus,improve the stability of the patient’s walking,improve their quality of life,no adverse reactions,good safety,can be promoted application.