神经肌肉电刺激结合现代康复技术治疗急性缺血性脑卒中后运动功能障碍的疗效观察。

IF 1.1 4区 医学 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Acta radiologica Pub Date : 2025-01-17 DOI:10.1177/02841851241312227
Jie Lin, Lei Liu, Huifang Zheng, Zuojun Tian
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引用次数: 0

摘要

背景:急性缺血性中风(Acute ischemic stroke, AIS)是指大脑某一区域的血流突然减少,从而导致神经功能丧失。目的:探讨神经肌肉电刺激(NMES)结合现代康复技术治疗AIS后运动功能障碍的疗效。材料与方法:将200例AIS后运动功能障碍患者分为A、B、C、D组(n = 50)。四组患者在常规药物治疗的基础上:B组患者接受NMES治疗;C组采用现代康复技术治疗;D组采用NMES联合现代康复技术治疗。比较康复效果、脑血流动力学指标、神经功能恢复情况、Fugl-Meyer评估(FMA)和运动评估量表(MAS)评分、生活自理和生活质量。结果:治疗后,D组总有效率比A组(64%)、B组(82%)、C组(84%)高96%。双侧大脑中动脉Vm、Vs及FMA、MAS、功能独立性测量、改良Barthel指数评分升高;RI和niss评分下降;与A、B、C组相比,D组均有显著改善,B、C组与A组相比均有显著改善。结论:NMES配合现代康复技术协同治疗AIS后运动功能障碍,康复效果理想,可改善脑血流动力学、神经及肢体运动功能恢复,提高自理能力和生活质量。
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Efficacy of neuromuscular electrical stimulation with modern rehabilitation techniques in the treatment of acute ischemic stroke patients with post-motor dysfunction.

Background: Acute ischemic stroke (AIS) refers to a sudden loss of blood flow in a region of the brain, which leads to a loss of neurological function.

Purpose: To unveil the efficacy of neuromuscular electrical stimulation (NMES) with modern rehabilitation techniques in AIS patients with post-motor dysfunction.

Material and methods: A total of 200 AIS patients with post-motor dysfunction were divided into groups A, B, C, and D (n = 50). Patients in the four groups were routinely treated with medicine, on this basis: group B received NMES treatment; group C received modern rehabilitation technology treatment; and group D was treated with NMES and modern rehabilitation technology. Rehabilitation effect, cerebral hemodynamic indices, neurological function recovery, Fugl-Meyer Assessment (FMA) and Motor Assessment Scale (MAS) scores, self-care, and quality of life were compared.

Results: After treatment, the total effective rate of group D was 96% higher than that of group A (64%), group B (82%), and group C (84%). Bilateral middle cerebral artery Vm and Vs and scores of FMA, MAS, functional independence measure, and modified Barthel index increased; RI and NHISS scores decreased; and all group D improved significantly versus groups A, B, and C, and both groups B and C improved significantly versus group A.

Conclusion: NMES with modern rehabilitation technologies synergistically treat motor dysfunction after AIS with ideal rehabilitation effect, improving cerebral hemodynamics, neurological and limb motor function recovery, and self-care ability and quality of life.

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来源期刊
Acta radiologica
Acta radiologica 医学-核医学
CiteScore
2.70
自引率
0.00%
发文量
170
审稿时长
3-8 weeks
期刊介绍: Acta Radiologica publishes articles on all aspects of radiology, from clinical radiology to experimental work. It is known for articles based on experimental work and contrast media research, giving priority to scientific original papers. The distinguished international editorial board also invite review articles, short communications and technical and instrumental notes.
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