肌电触发生物反馈对急性脑梗死患者偏瘫早期康复的治疗作用.docVIP

肌电触发生物反馈对急性脑梗死患者偏瘫早期康复的治疗作用 　　[摘要] 目的 观察肌电生物反馈疗法对脑梗死偏瘫患者早期康复的治疗作用。 方法 将2013年4～12月江西省人民医院神经内科60例患者采用随机数字表法分为三组：神经肌肉电刺激组、肌电生物触发反馈组和对照组，各20例。均给予常规药物治疗和康复治疗，电刺激组于病情稳定48 h后进行神经肌肉电刺激，反馈组于病情稳定48 h后进行肌电触发生物反馈治疗。治疗前和治疗后28 d比较三组患者患侧上下肢表面肌电值（sEMG）的变化；采用美国国立卫生研究院卒中量表（NIHSS）、简氏Fugl-Meyer运动评分量表（FMA）评价患者的神经功能缺损程度以及患肢的运动功能；应用Barthel指数（BI）评价患者的日常生活能力（ADL）。 结果 三组患者治疗前表面肌电值及各项评分比较差异无统计学意义（P 0.05）。与治疗前比较，治疗后三组表面肌电值及各项评分均明显改善（P 0.05），与对照组比较，电刺激组和触发反馈组患者治疗后各项指标均显著改善，且触发反馈组疗效优于电刺激组，差异均有统计学意义（P 0.05）。 结论 肌电触发生物反馈和神经肌肉电刺激均能有效提高脑梗死偏瘫患者康复治疗的效果，且肌电触发生物反馈疗效优于神经肌肉电刺激。 　　[关键词] 肌电触发生物反馈；神经肌肉电刺激；脑梗死；康复 　　[中图分类号] R743.305 [文献标识码] A [文章编号] 1673-7210（2016）09（b）-0068-05 　　[Abstract] Objective To observe the effect of EMG biofeedback therapy for the treatment of cerebral infarction patients with hemiplegia early rehabilitation. Methods A total of 60 patients from April to December 2013 in Department of Neurology of Jiangxi Provincial Peoples Hospital were divided into three groups by random number table method： electrical stimulation group， EMG biofeedback group and control group， with 20 cases in each group. Three groups were given conventional therapy and rehabilitation therapy， and the electrical stimulation group was given neuromuscular electrical stimulation in stable condition after 48 h， the EMG biofeedback group was given triggered biofeedback therapy in stable condition after 48 h. Changes of ipsilateral upper and lower extremities surface EMG （sEMG） of patients in three groups before treatment and 28 days after treatment were compared； the US National Institutes of Health Stroke Scale （NIHSS）， Fugl-Meyer Janes movement rating scale （FMA） were used to evaluat the neurological defects and limb motor function； daily living of patients was evaluated by Barthel index （BI）. Results All scores and sEMG of patients in the three groups before treatment was no significant difference （P 0.05）. Compared with before treatment， the scores and sEMG were improved after treatment in the three group