脑卒中低肌张力患者超声引导下外周神经电刺激的临床对照

目的 研究超声引导下外周神经电刺激对脑卒中患者软瘫肢体肌张力的影响.方法 共选取脑卒中软瘫患者62例, 随机分为对照组及观察组各31例.对照组患者给予常规临床治疗及康复训练;观察组患者在此基础上辅以超声引导下外周神经电刺激;治疗前后, 采用改良Ashworth量表 (MAS) 评价治疗效果, 并比较2组患者肱二头肌肌张力达到Ashworth 2级所需的时间.结果 与对照组 (79.5%) 相比, 治疗3周后观察组患者的总有效率 (93.3%) 明显较高 (P<0.05) ;观察组肱二头肌肌张力达到Ashworth 2级所需的时间分别为 (10.15±4.36) d, 短于对照组肱二头肌的所需时间 (17.21±5.12) d, (P<0.05) .结论 超声引导下外周神经电刺激治疗可显著改善软瘫期脑卒中患者肢体肌张力.

A Clinical Controlled Study of Peripheral Nerve Stimulation by Ultrasound-guided on Low Muscular Tesion after Stroke

Objective To investigate the effects of electrical stimulation on peripheral by Ultrasound-guided on low muscular tesion after stroke.Methods Sixty-two stroke patients with low muscular tesion were divided randomly into a control group and a observation group.Both groups received routine clinic treatment and rehabilitation training, but the observation group was additional treated with peripheral nerve stimulation by ultrasound-guided.Modified Ashworth Scale (MAS) was used to evaluate the effects before and after treatment, and time of 2groups that the tension of biceps brachii was improved to 2 level was compared.Results Compared with the control group (79.5%) , the total effective rate of cases in the observation group (93.3%) was statistically higher (P<0.05) ;Compared with the control group (17.21±5.12) d, the time of the observation groups (10.15±4.36) d that the tension of biceps brachii improved to 2 level was shorter (P<0.05) .Conclusion Peripheral nerve stimulation by ultrasound-guided may improve muscle tension in flaccid.