本文選題：中風(fēng) + 低頻電刺激��； 參考：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:觀察低頻電刺激結(jié)合運(yùn)動(dòng)想象療法對提高中風(fēng)后腕背伸功能的臨床療效,為臨床治療中風(fēng)后上肢功能障礙尋求一種更為有效的治療措施。方法:將60例符合納入標(biāo)準(zhǔn)的中風(fēng)患者,隨機(jī)分為治療組與對照組,每組各30例,兩組患者在臨床常規(guī)康復(fù)治療基礎(chǔ)上,對照組給予低頻電刺激刺激手三里、外關(guān)、內(nèi)關(guān)、郄門,20min/次,1次/日,治療6日/周,休息1日/周,療程共4周。治療組在每日給予低頻電刺激治療后再行1次運(yùn)動(dòng)想象療法,每次24分鐘,次數(shù)及治療周期同對照組。兩組患者在治療前及治療后采用腕背伸活動(dòng)度ROM、簡化Fugl-Meyer評分量表(上肢)、Barthel指數(shù)量表、神經(jīng)功能缺損評分標(biāo)準(zhǔn)(CSS)評價(jià)臨床療效,利用統(tǒng)計(jì)學(xué)軟件SPSS22.0對數(shù)據(jù)進(jìn)行處理與分析。結(jié)果:1.兩組患者治療后腕背伸活動(dòng)度均較治療前提高,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),說明兩種治療方法均可以改善腕背伸活動(dòng)度,兩組患者組間比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),治療組療效優(yōu)于對照組。2.兩組患者治療后Fugl-Meyer評分量表均較治療前提高,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),說明兩種治療方法均可以改善上肢運(yùn)動(dòng)功能,兩組患者組間比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),治療組療效優(yōu)于對照組。3.兩組患者治療后Barthel指數(shù)量表評分均較治療前提高,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),說明兩種治療方法均可以改善患者日常生活能力,兩組患者組間比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),治療組療效優(yōu)于對照組。4.根據(jù)兩組患者治療后神經(jīng)功能缺損(CSS)評分,以神經(jīng)功能缺損評分所減少的百分比的程度來計(jì)算總有效率,治療組總有效率為83.33%,對照組為66.67%,差異具有統(tǒng)計(jì)學(xué)意義(P0.01),治療組療效優(yōu)于對照組。結(jié)論:1.低頻電刺激結(jié)合運(yùn)動(dòng)想象療法可以有效改善患側(cè)腕關(guān)節(jié)活動(dòng)度及上肢運(yùn)動(dòng)功能,提高日常生活能力,對中風(fēng)后腕背伸功能的恢復(fù)療效肯定。2.低頻電刺激結(jié)合運(yùn)動(dòng)想象療法可以調(diào)動(dòng)患者主動(dòng)參與性,增強(qiáng)其主觀能動(dòng)性,對改善腕背伸效果優(yōu)于低頻電刺激療法。
[Abstract]:Objective: to observe the clinical effect of low frequency electrical stimulation combined with exercise imagination therapy on the improvement of wrist dorsal extension function after stroke, and to seek a more effective treatment for upper limb dysfunction after stroke. Methods: 60 stroke patients were randomly divided into treatment group and control group with 30 cases in each group. On the basis of routine rehabilitation treatment, the control group was given low frequency electrical stimulation on the basis of three li, outside pass, and inner pass. Ximen was treated for 6 days, rest for 1 week, and the course of treatment was 4 weeks. The patients in the treatment group were treated with low frequency electrical stimulation once more, 24 minutes each time, the times and the treatment cycle were the same as those in the control group. Before and after treatment, the patients in both groups were evaluated with the wrist extension activity scale (rom), simplified Fugl-Meyer scale (upper limb Barthel index scale, nerve function impairment scale), and the statistical software SPSS22.0 was used to process and analyze the data. The result is 1: 1. After treatment, the activity of carpal dorsal extension in the two groups was higher than that before treatment, and the difference was statistically significant (P 0.01), which indicated that the two treatment methods could improve the activity of carpal dorsal extension, and the difference between the two groups was significant. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. The Fugl-Meyer scores of the two groups after treatment were higher than those before treatment, and the difference was statistically significant (P 0.01), which indicated that the two treatment methods could improve the motor function of upper limbs, and the two groups were compared with each other. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. The scores of Barthel index scale after treatment in two groups were higher than those before treatment, and the difference was statistically significant (P 0.01), which indicated that the two treatment methods could improve the ability of daily living of patients, and the difference between the two groups was significant. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. The total effective rate was calculated by the percentage reduction in the neurological deficit score according to the CSS score of the two groups after treatment. The total effective rate of the treatment group was 83.33 and that of the control group was 66.67. The difference was statistically significant (P 0.01). The curative effect of the treatment group was better than that of the control group. Conclusion 1. Low frequency electrical stimulation combined with exercise imagination therapy can effectively improve the wrist motion and upper limb motor function, improve the ability of daily life, and confirm the recovery of wrist dorsal extension function after apoplexy. 2. Low frequency electrical stimulation combined with exercise imagination therapy can mobilize patients' active participation and enhance their subjective initiative, which is better than low frequency electrical stimulation therapy in improving wrist dorsal extension.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R743.3

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