镜像疗法联合神经肌肉电刺激对脑卒中偏瘫患者下肢功能恢复的影响

胡军; 林源绍; 徐超群; 吕海月; 徐淑芬

doi:10.16766/j.cnki.issn.1674-4152.002540

镜像疗法联合神经肌肉电刺激对脑卒中偏瘫患者下肢功能恢复的影响

doi: 10.16766/j.cnki.issn.1674-4152.002540

1.
温州医科大学附属衢州医院(衢州市人民医院)神经内科，浙江衢州 324000
2.
温州医科大学附属衢州医院(衢州市人民医院)针灸理疗科，浙江衢州 324000

基金项目:

浙江省自然科学基金项目 LY19H090012

详细信息

通讯作者:
胡军, E-mail: shuzigemen@163.com

中图分类号: R743.3 R454.1
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- 文章访问数: 126
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- 被引次数: 0
出版历程
- 收稿日期: 2021-08-10
- 网络出版日期: 2022-09-23

Effect of mirror therapy combined with neuromuscular electrical stimulation on functional recovery of lower limbs in stroke patients with hemiplegia

1.
Department of Neurology, Quzhou Hospital Affiliated of Wenzhou Medical University, Quzhou, Zhejiang 324000, China

摘要

摘要: 目的探讨与研究将镜像疗法(MT)与神经肌肉电刺激(NMES)联合应用于脑卒中偏瘫患者对下肢功能的康复疗效和价值，旨在为改善脑卒中偏瘫患者下肢功能，提升患者满意度提供数据支撑。方法将温州医科大学附属衢州医院(衢州市人民医院)神经内科2019年10月—2020年7月期间收治的脑卒中偏瘫患者64例纳入研究并采用随机数字表法分为对照组和观察组，各32例，对照组接受常规治疗和NMES干预，观察组在常规治疗的基础上给予NMES联合MT治疗，采用Berg平衡量表(BBS)评分及Fugl-Meyer量表下肢部分评分(FMA-LE量表)对2组患者治疗前后下肢运动功能和平衡功能进行测量，同时采用本院自拟患者满意度调查表对2组患者满意度进行调查，采用相应统计学方法进行统计分析。结果 2组患者治疗后BBS评分和FMA-LE评分均有所改善，且观察组患者上述指标的改善效果明显优于对照组[BBS评分：(30.78±6.03)分vs. (26.65±5.22)分；FMA-LE评分：(18.53±3.42)分vs. (16.43±2.94)分]，差异有统计学意义(t_BBS=2.634，P=0.011；t_FMA-LE=2.929，P=0.005)；观察组患者满意度为100.00%，对照组满意度为75.00%，观察组满意度明显高于对照组(χ²=9.143，P=0.005)。结论将镜像疗法联合神经肌肉电刺激应用于脑卒中偏瘫患者的康复治疗，可显著改善下肢功能，提升患者满意度，具有在临床推广应用的现实意义。
- 脑卒中 /
- 偏瘫 /
- 镜像疗法 /
- 神经肌肉电刺激
Abstract: Objective To investigate the therapeutic effect and value of mirror therapy (MT) combined with neuromuscular electrical stimulation (NMES) on lower limb function of stroke patients with hemiplegia, and provide data support for improving lower limb function and improving patient satisfaction. Methods A total of 64 cases of stroke patients with hemiplegia who met the requirements in the Quzhou Hospital Affiliated of Wenzhou Medical University from October 2019 to July 2020 were included in the study, and randomly divided into observation group and control group, with 32 cases in each group. The control group received conventional treatment and NMES intervention, and the observation group received NMES combined with MT treatment on the basis of conventional treatment. Berg balance scale (BBS) and FuGL-Meyer scale (FMA-LE) were used to measure the lower limb motor function and balance function of patients in the two groups before and after treatment. Meanwhile, the self-designed patient satisfaction questionnaire used in our hospital was used to investigate the satisfaction of patients in the two groups, and corresponding statistical methods were conducted for statistical analysis. Results BBS score and FMA-LE score improved in the two groups after treatment, and the improvement effect of the above indicators in the observation group was significantly better than that in the control group [BBS score: (30.78±6.03) points vs. (26.65±5.22) points; FMA-LE score: (18.53±3.42) points vs. (16.43±2.94) points], and the difference was statistically significant (t_BBS=2.634, P=0.011; t_FMA-LE=2.929, P=0.005). Statistical analysis showed that the satisfaction degree of the observation group (100.00%) was significantly higher than that of the control group (75.00%, χ²=9.143, P=0.005). Conclusion The application of mirror therapy combined with neuromuscular electrical stimulation in the rehabilitation of patients with hemiplegia after stroke can significantly improve the function of lower limbs and enhance patient satisfaction, indicating that it has practical significance in clinical application.
- Stroke /
- Hemiplegia /
- Mirror therapy /
- Neuromuscular electrical stimulation

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表 1 2组脑卒中偏瘫患者一般资料比较

Table 1. Comparison of general data of hemiplegic stroke patients between two groups

组别	例数	性别(例)		疾病分类(例)		年龄(x±s, 岁)	病程(x±s, d)
组别	例数	男性	女性	脑梗死	脑出血	年龄(x±s, 岁)	病程(x±s, d)
观察组	32	20	12	21	11	52.45±5.15	31.43±4.65
对照组	32	21	11	20	12	51.89±4.92	32.05±5.02
统计量		0.068^a		0.068^a		0.445^b	-0.513^b
P值		0.794		0.794		0.658	0.610
注：^a为χ²值，^b为t值。

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表 2 2组脑卒中偏瘫患者治疗前后BBS评分和FMA-LE评分比较(x±s, 分)

Table 2. BBS score and FMA-LE score were compared between the two groups before and after treatment

组别	例数	FMA-LE评分		BBS评分
组别	例数	治疗前	治疗后	治疗前	治疗后
观察组	32	11.64±4.31	18.53±3.42^a	17.12±7.03	30.78±6.03^a
对照组	32	11.32±3.81	16.43±2.94^a	16.55±5.87	26.65±5.22^a
t值		0.315	2.634	0.352	2.929
P值		0.754	0.011	0.726	0.005
注：与同组治疗前比较，^aP＜0.05。

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表 3 2组脑卒中偏瘫患者满意度比较

Table 3. Comparison of satisfaction between two groups of stroke patients with hemiplegia

组别	例数	非常满意(例)	基本满意(例)	不满意(例)	满意度(%)
观察组	32	28	4	0	100.00(32/32)
对照组	32	15	9	8	75.00(24/32)
注：2组满意度比较，χ²=9.143，P=0.002。

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