摘要
目的探讨功能性电刺激结合中药涂擦、强制性运动疗法对脑卒中偏瘫患者上肢功能障碍的治疗效果。方法选择2017年2月至2022年3月常州市武进中医医院收治的脑卒中偏瘫患者86例,以治疗方法不同分为研究组(43例)与对照组(43例)。对照组采用功能性电刺激联合中药涂擦治疗,研究组在对照组治疗方案的基础上联合强制性运动疗法治疗。2组均治疗1个月。对比2组Wolf运动功能测试量表(WMFT)、Fugl-Meyer上肢运动功能评定量表(FMA-UE)、改良Barthel指数(MBI)、上肢动作研究量表(ARAT)、美国国立卫生研究院卒中量表(NIHSS)、脑卒中专用生活质量量表(SS-QOL)评分。结果治疗后,2组WMFT评分、FMA-UE评分、MBI评分、ARAT评分、SS-QOL评分均升高(P<0.05),且研究组更高(P<0.05);NIHSS评分均降低(P<0.05),且研究组更低(P<0.05)。结论功能性电刺激结合中药涂擦、强制性运动疗法可改善脑卒中偏瘫患者上肢功能,提高日常生活能力,改善神经功能与生活质量。
Objective To investigate the therapeutic effect of functional electrical stimulation combined with traditional Chinese medicine liniment and compulsory exercise therapy on upper limb dysfunction in patients with hemiplegia after stroke.Methods From February 2017 to March 2022,86 stroke patients with hemiplegia after stroke were selected and divided into study group(43 cases)and control group(43 cases)by random number table method.The control group was treated with functional electrical stimulation and traditional Chinese medicine liniment,and the study group was treated with compulsory exercise therapy on the basis of the control group.Both groups were treated for 1 months.The scores of Wolf Motor Function Test(WMFT),Fugl‐Meyer Assessment‐Upper Extremity(FMA‐UE),Modified Barthel Index(MBI),Action Research Arm Test(ARAT),National Institutes of Health Stroke Scale(NIHSS),and Stroke Specific Quality of Life Scale(SS‐QOL)were compared between the two groups.Results After treatment,the scores of WMFT,FMA‐UE,MBI,ARAT and SS‐QOL were increased in both groups(P<0.05),and these scores in the study group were higher than those in the control group(P<0.05).After treatment,NIHSS scores were decreased in both groups(P<0.05),and the score in the study group was lower than that in the control group(P<0.05).Conclusion Functional electrical stimulation combined with traditional Chinese medicine liniment and compulsory exercise therapy can improve the function of upper limbs,the activity of daily living,neurological function and quality of life of patients with hemiplegia after stroke.
作者
巢小琳
李燕
曹欣
Chao Xiaolin;Li Yan;Cao Xin(Department of Rehabilitation,Changzhou Wujin Hospital of Traditional Chinese Medicine,Changzhou 213161,China)
出处
《海军医学杂志》
2024年第12期1250-1254,共5页
Journal of Navy Medicine
基金
江苏省科技项目社会发展面上项目(BE2021618)。
关键词
功能性电刺激
中药涂擦
强制性运动疗法
脑卒中偏瘫
上肢运动功能障碍
Functional electrical stimulation
Traditional Chinese medicine liniment
Compulsory exercise therapy
Stroke hemiplegia
Upper limb dysfunction
作者简介
通信作者:巢小琳,电子信箱:13861039284@139.com。
