便携式神经肌电刺激仪治疗周围神经损伤合适电参数选择_李琦.pdfVIP

2009 7 17 7 9 · · — 1 1 1 1 1 李琦 　曾炳芳 　王金武 　张长青 　范存义 [] 　:探讨经皮神经肌电刺激中选择合适的电参数 促进周围神经再生及肢体功能恢复。:采用 T ERESA- 神经肌体仪(低频脉冲治疗仪)对23 例周围神经损伤患者进行经皮神经肌肉电刺激治疗。 治疗中选择合适的刺激参数, 观察受损神经功能恢复情况并进行治疗前、后肌电图对比分析。:23 例桡神经、正中神经、尺神经、腓总神经及胫神经 损伤患者, 经1 ～2 个疗程治疗后受损神经功能有明显恢复。肌电图检查亦支持上述结果。:在合适电参数范围内经 皮神经肌电刺激治疗可有效促进周围神经再生, 改善受损的神经功能。 [] 　周围神经;经皮电刺激;电参数 [] 　R74 5　　[]　A 　　[]　1005-0205 (2009)07-0009-02 Portable Neuromuscular Electrical Stimulator for Peripheral Nerve Injury-Selection of Optimal Electrical Parameters L I Qi 1 　Z E N GB ingf ang 1 　WAN G J inw u 1 　Z H AN G Chang qing 1 　F AN Cuny i 1 1De par tment o f Or thopaed cs, N o .6 Peoples Ho sp tal o f Shangha J ao tong U n vers ty, Shangha 200233, Ch na Abstract　Objective:T o apply o pt mal electr cal par ame te rs n trea t ng per phe ral ne rve njury to promo te regenerat o n o f ner ve and re sto rat on o f l mbs funct o n.Methods:T ERESA-neuromu scular st mulat o n nstrument (low frequency pulse the rapeut c nstr ument )w as u sed to t reat 23 ca ses o f pe r pheral ne rve nj ury.Dur ng the cour se of treatment, w e appl ed su table st mulat on parameter s to observe resto r ng s tuat o n of ne rves func t on and compare po st tr eatme nt EM G w th pre- treatment one.Results:Af te r 1-2 cour ses of treatment, 23 ca ses w th njury of rad u s nerv e, med a n ne rve, ulna ne rve, co mmon f bula nerve and t b a nerve g ot cer ta n r eco very n co r respo nd ng l mb s funct o n.Results of electro myo g raphy EM G also suppo rted the above f act.Conclusion:W th n the sco pe o f su table elect r cal parameter s, N M ES w ll promo te re- g ene rat o n o f per phe ral nerv e and mpro ve ts func t