脑循环功能治疗并瘫肢电刺激对急性脑梗死疗效观察.docVIP

脑循环功能治疗并瘫肢电刺激对急性脑梗死疗效观察【摘要】目的:探讨急性脑梗死时使用脑循环仪以及电脑按摩仪疗效。方法:60例急性脑梗死患者,随机分成治疗组和对照组各30例,治疗组在用常规药物治疗基础上,发病3d内给予脑循环功能治疗并瘫痪肢体电刺激治疗。对照组仅给予常规药物治疗,在两组患者治疗前及治疗第20d进行临床神经功能(NIHSS)评分及日常生活活动Barthel评分。结果:临床神经功能评分及日日常生活活动Barthel评分比较两组有显著差异(p?0.05)。结论 急性脑梗死患者早期给予脑循环功能治疗并瘫肢电刺激治疗,有助于功能康复。 【关键词】脑循环功能治疗;电刺激治疗;偏瘫;急性脑梗死 The efficacy of Cerebrovascular Function Therapy and Transcutancous Electrical Nerve Stimulator in Treatment of Patients with Acute Cerebral Iinfraction ZHANG guifang 【Abstract】Objective To investigate the efficacy of Cerebrovascular Function Therapy (CVFT) and hemiplegic limbs Transcutancous Electrical Nerve Stimulator(TENS) in treatment of patients with acute cerebral infraction. Methods 60 cases of acute cerebral infraction were randomly divided into treated group and control group (30cases each group).The patients of the treated group had been treated with CVTF and Tens-21 on the base of routine medical treatment within 3 days of onset .The control group only received routine medical treatment .The National Institute of (NIHSS)and Barthel Indices were summed up in pretreatment and 21 days after treatment .Results Differences of NIHSS or barthel Indices between two groups of patients were of significance statistically after treatment. Conclusion CVTF and TENS treatment as early aspossible after acute cerebral infraction promeote rehabilitation of function. 【Key words】Cerebrovascular Function TherapyTranscutancous Electrical Nerve StimulatorHemiplegiaAcutecerebralinfraction 【中图分类号】R553【文献标识码】B【文章编号】1005-0515(2010)011-0029-02 近年来,脑梗死的发病率逐渐增多,后遗症发生率很高,由此造成不同程度的功能障碍,使患者日常生活自理能力下降,早期进行有效的康复治疗,可最大的程度促进肢体功能恢复,提高生活质量。我院应用脑循环功能治疗并瘫肢电刺激治疗急性脑梗死,取得一定疗效,现报告如下:? 1 资料与方法 1.1 临床资料病便选自2005年我科住院患者,共60例,所选病例均符合全国第四届脑血管病会议[1]制定的诊断标准。入选标准:①发病时间在72h以内的颈内动脉系统脑梗死。②CT检查排除颅内出血。③患者年龄18~80岁。④有明确神经系统定位体征,意识清醒或轻度嗜睡。患者随机分为治疗组30例,男16例,女14例,平均年龄69.97岁,对照组30例,男15例,女15例,平均年龄69.03岁。两组患者年龄、性别、既往史及发病至开始治疗时间均十分接近,故具有可比性。入院时两组神经功能缺失评分无明显差异。 1.2 治疗方法:两组患者均采用内科常规治疗,控制血压、血糖,活血化淤,促进脑