肌电图定位定量电刺激治疗上肢周围神经损伤的临床分析

目的 探讨肌电图定位定量电刺激治疗上肢周围神经损伤的临床疗效。方法 选取2013年1月～2015年1月于本院接受治疗的100例上肢周围神经损伤患者,按照(0,1)随机分布分为2组; 患者入院后均采用基础药物治疗,实施常规康复训练,对照组进行低频电刺激治疗,观察组在肌电图监测下给予定位定量电刺激,时间为6个月,比较2组的治疗效果。结果 2组患者治疗期间均无严重不良反应发生。对照组的临床显效率为63.8%,低于观察组(77.6%)(P<0.05)。治疗前2组患者的各项检测数据无显著差异; 治疗后检测指标均得到改善,2组桡神经和正中神经肌电图的波幅、运动电位潜伏期与MCV以及尺神经的运动电位潜伏期均有显著差异,观察组优于对照组(P<0.05)。结论 采用肌电图辅助治疗有助于电刺激位置的准确定位以及刺激参数的科学设置,可以明显改善电刺激治疗上肢周围神经损伤的临床疗效,提高患者的生存质量。

The clinical analysis of EMG quantitative electrical stimulation in the treatment of peripheral nerve injury of upper limb

ObjectiveTo explore the clinical effect of EMG quantitative electric stimulation on peripheral nerve injury of upper limb.Methods 100 patients with peripheral nerve injury, treated in our hospital from January in 2013 to 2015, were randomly divided into two groups according to(0, 1). After admission, the patients were treated with basic drugs, and the routine rehabilitation training was carried out. The control group was treated with low frequency electric stimulation, and the observation group was given the quantitative electric stimulation monitored by EMG for 6 months. The efficacy of treatment was compared between the two groups.Results No serious adverse reactions occurred in the two groups of patients during the treatment. The clinical efficiency of the control group was 63.8%, which was lower than the observation group(77.6%), and the difference between two groups was significant. Before treatment, there were no significant differences between the two groups of patients about basic data. After treatment, there were some significant differences between two groups about the amplitude, the latency of the motor potential and MCV in the radial never and median nerve. The latency of motor potential in ulnar nerve was also different between the two groups(P<0.05).Conclusion The use of EMG assisted therapy helps to accurately locate the position of electrical stimulation and scientifically set up stimulation parameters. It significantly improves not only the clinical efficacy in the treatment of peripheral nerve injury by electrical stimulation, but also the quality of patients life.