神经干刺激疗法联合康复训练对脑卒中患者下肢运动功能的影响分析

目的:分析神经干刺激疗法联合康复训练对脑卒中患者下肢运动功能的影响。方法:将56例脑卒中恢复期患者随机分为2组,每组28例。2组患者均予以一般的内科药物治疗及康复训练,在此基础上,对照组采取常规针刺治疗,观察组采取神经干刺激疗法,比较2组患者治疗前及治疗4周后的Fugl-Meyer运动功能(FMA)下肢部分评分、Fugl-Meyer平衡功能评分(FBS)及改良Barthel指数(MBI)评分。结果:经过4周的治疗后,2组FMA下肢部分评分、FBS及MBI评分均较治疗前有显著提高(均P0.05),而观察组的各项指标的提高程度相对于对照组更明显(P0.05)。结论:神经干刺激疗法联合康复训练对脑卒中患者的下肢运动功能、平衡功能及日常生活活动能力(ADL)有显著改善效果,可提高患者的生活自理能力,改善生活质量,治疗价值显著,值得在临床上推广。

Effect of Nerve Trunk Stimulation Combined with Rehabilitation Training on Lower Limb Function of Stroke Patients

Objective: To analyze the effect of nerve trunk stimulation therapy combined with rehabilitation training on lower limb motor function of stroke patients. Methods: Fifty-six patients with cerebral apoplexy were randomly divided into two groups, 28 cases in each group. General medical treatment and rehabilitation training of patients in two groups were given. Additionally, the control group was treated with common acupuncture, and the observation group was treated with nerve trunk stimulation therapy. Before and 4 weeks after treatment, the Fugl Meyer motor assessment (FMA) of lower limb, Fugl-Meyer balance score (FBS) and modified Barthel index (MBI) of the two groups were compared. Results: After 4 weeks of treatment, the FMA of lower limb, FBS and MBI scores in 56 stroke patients increased significantly (P<0.05), and the degree of improvement in the observation group was significantly higher than that in the control group (P<0.05). Conclusion: Nerve trunk stimulation therapy combined with rehabilitation training can significantly improve the lower limb motor function, balance function and activity of daily living of stroke patients, and can improve the patients'' self-care ability and the quality of life.