交变电磁场治疗对脑卒中患者肢体运动功能的影响.docVIP

交变电磁场治疗对脑卒中患者肢体运动功能的影响 李义召 崔贵祥 谢遵伟 宋成忠 朱士文 【摘要】目的 观察脑卒中偏瘫患者应用康复训练配合脑功能（障碍）治疗仪（交变电磁场）治疗对肢体运动功能恢复的影响。方法 124例患者随机分为治疗组和对照组，各62例。两组均进行常规药物治疗和康复训练，治疗组给予脑功能（障碍）治疗仪真性治疗，对照组给予脑功能（障碍）治疗仪假性治疗。评价指标包括美国国立卫生研究院卒中量表（NIHSS）、Fugl-Meyer评分（FMA）和Barthel指数（BI），同时采用匹兹褒睡眠质量调查表（PSQI）病人进行睡眠质量调查，分别于治疗前和治疗后1月由专人进行评定。结果 治疗后两组NIHSS、FMA、BI评分较治疗前改善（P＜0.05），治疗组优于对照组（P＜0.05）。结论 交变电磁场治疗有助于促进急性脑卒中患者神经功能恢复，提高其运动功能，提高日常生活活动能力。 【关键词】脑卒中；康复；运动功能；交变电磁场治疗 Effect of treatment of alternating electric field on limbs motor function in patients with stroke [Abstract] Objective To investigate the effects of rehabilitation training combined with treatment of alternating electromagnetic field on limbs motor function in hemiplegic patients with early stroke. Methods 124 patients who suffered acute stroke were randomly divided into therapy group(n＝62) and control group(n＝62). Both groups received routine medical therapy and rehabilitation therapy. Meanwhile, therapy group received true treatment of alternating electromagnetic field, control group received false treatment of alternating electric field. The patients were evaluated with National Institute of Health Scale of Stroke(NIHSS), Fugl-Meyer Assessment(FMA), Barthel Index(BI) before and after 1 month by the same doctor. At the same time, the patient’s sleep quality was detected by PSQI. Results The scores of FMA and BI increased significantly(P＜0.01) while that of NIHSS and PSQI decreased significantly group(P＜0.01) in both groups after treatment. These scores in therapy group were significantly heigher than that in control group(P＜0.05). Conclusion The treatment with treatment of alternating electromagnetic field is helpful to improve the neurological function ,motor function and ability of daily living. [Key Words] Stroke; Rehabilitation；Motor function； Treatment of alternating electromagnetic field 脑卒中是当前严重危害人类生命和健康的疾病，我国每年新发生脑血管疾病约150万例，死亡人数达100万人以上，存活者中75％～80％不同程度地丧失劳动能力，其中40％重度致残，直接和间接经济损失在300亿人民币以上。但目前对脑血管疾病并无特效治疗方法。近年来，随着医学科技的迅速发展，物理治疗