个体化神经肌肉电刺激对脑卒中偏瘫肢体功能恢复的影响

摘要

Objective To investigate the effect of individual neuromuscular electrical stimulation ( NMES) on the recovery of hemiplegic limb function in stroke patients .Methods Ninety-eight stroke patients with hemiplegia were divided into treatment group and control group according to the random number table , with 49 cases in each group.The control group was given conventional medical treatment and conventional rehabilitation therapy ,the treatment group was given individual NMES besides the treatment performed in the control group ,the treatment lasted for 12 weeks in both groups .The scores of limb function before and after treatment were assessed referring to motor assessment scale (MAS).The activities of daily living were evaluated by using a modified Barthel index (MBI).Results Twelve weeks after treatment , the MAS scores ( supination to unaffected side lying position , supination to sitting at bedside , sitting balance ,sitting position to standing position ,walking ,upper limb function ) and MBI scores in the treatment group were higher than the controls ( P<0.01) .Conclusion The individual NMES for the treatment of post-stroke hemiplegia can significantly improve the patient′s limb motor function ,reduce the degree of their disability and improve their activities of daily living .%目的：探讨个体化神经肌肉电刺激（ NMES ）对脑卒中偏瘫患者肢体功能恢复的影响。方法脑卒中偏瘫患者98例，应用随机数字表法将患者分为治疗组和对照组，每组49例。对照组给予内科常规治疗及常规康复治疗，治疗组则在对照组治疗基础上加个体化NMES治疗，疗程均为12周。两组治疗前后的肢体功能评分参照运动功能评估量表（ MAS）进行测评；日常生活活动能力采用改良Barthel 指数（ MBI ）测评。结果治疗12周后，治疗组的仰卧位到健侧卧位、从仰卧位到床边坐、坐位平衡、从坐位到站立、步行、上肢功能等MAS评分和MBI评分均高于对照组（ P＜0．01）。结论个体化NMES治疗脑卒中后偏瘫肢体能明显改善患者的肢体运动功能，减轻其残疾程度，提高患者的日常生活活动能力。