双侧电刺激对脑卒中后康复的影响

Bilateral Electrostimulation Effect for the Rehabilitation of the Patient With Stroke.

目的 探讨双侧电刺激治疗对脑卒中后神经功能康复的影响。方法 将 15 0例急性脑卒中偏瘫患者随机分为两组 ,均采用常规药物和功能锻炼进行治疗 ,康复组加用双侧电刺激治疗 ,对照组加用单侧电刺激治疗。疗程 1月。采用临床神经功能缺损程度评分 ,简式Fugl-meyer运动功能评分 (FMA) ,改良Barthel指数 (MBI)于初期、末期 ( 3个月 )对两组病人评定并进行t检验。结果 治疗后 ,康复组临床神经功能缺损程度评分明显减少 ,与对照组相比 ,P <0 .0 1;FMA、MBI明显提高 ,与对照组相比 ,P <0 .0 1。结论 双侧电刺激治疗可明显促进患肢运动功能康复 ,降低致残率 ,提高日常生活能力。

Objective To explore the effect of rehabilitation after stroke by the bilateral electrostimulation. Methods 150 cases of hemiparalysis patients who suffered from cerebral apoplexy were randomly divided into two groups,rehabilitation group trained with bilateral electrostimulation for 1 month as a course,the control group trained with unilaterall electrostimulation.At the end of the course,T test were done of the two groups respectively with the evaluation point of clinical neurological defects,simple Fugl-Meyer Assessment(FMA) and modified barthel index(MBI) at the beginning and the end(3 month) of the course.Results After treatment,the evaluation point of clinical neurological defects in the rehabilitation group is much lower than that in the control group,(P<0.001) and the point of FMA or MBI increased markedly(P<0.001).Conclusion Bilateral electrostimulation can markedly improve the recovery of limbs'function,decrease disabilities and improve daily activities. [