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目的:探讨神经肌肉电刺激疗法对脑卒中患者日常生活活动能力及抑郁状态的影响作用。方法:根据入院顺序将黑龙江省牡丹江医学院康复科2011年4月至2014年1月收治的95例脑卒中后合并抑郁的患者分为研究组(48例)和对照组(47例)。对照组采用常规康复疗法,研究组在对照组基础上加用神经肌肉电刺激疗法,比较治疗8周后两组的脑梗死和脑出血患者的日常生活活动能力、抑郁症状等指标的改善差异。结果:治疗前研究组和对照组的脑梗死、脑出血患者的NIHSS评分、ADL评分比较差异不显著(P>0.05);治疗8周后,研究组脑梗死、脑出血的NIHSS评分减分率为52.57±12.38、50.51±14.28,AD评分提高率为分别为67.38±15.8、68.96±13.6,均显著高于对照组(P<0.05)。治疗前研究组和对照组的脑梗死和脑出血患者的汉密尔顿抑郁量表(HAMD)评分、功能独立测定量表(FIM)评分比较差异不显著(P>0.05);治疗8周后,研究组的脑梗死和脑出血患者的HAMD评分减分率分别为44.97±11.48、44.94±12.62,FIM评分提高率分别为70.93±17.86、68.42±19.26,均显著高于对照组(P<0.05)。结论:神经肌肉电刺激疗法结合常规康复疗法对脑卒中患者日常生活活动能力及抑郁状态较单用常规康复疗法对患者的日常生活活动能力、抑郁状态有更加显著的改善作用。
Objective: To investigate the effect of neuromuscular electrical stimulation on daily living activities and depression in stroke patients. Methods: Ninety-five patients with depression after stroke were divided into the study group (48 cases) and the control group (47 cases) according to the order of hospital admission, from April 2011 to January 2014 in Mudanjiang Medical College Rehabilitation Department of Heilongjiang Province. The control group was treated with conventional rehabilitation therapy. The study group was given neuromuscular electrical stimulation therapy on the basis of the control group. The improvement of activities of daily living and depressive symptoms were compared between the two groups after 8 weeks of treatment. Results: NIHSS score and ADL score of cerebral infarction and cerebral hemorrhage in study group and control group before treatment were not significantly different (P> 0.05). After 8 weeks of treatment, the NIHSS score reduction rate of cerebral infarction and cerebral hemorrhage 52.57 ± 12.38 and 50.51 ± 14.28 respectively. The improvement rate of AD score was 67.38 ± 15.8,68.96 ± 13.6, which were significantly higher than that of the control group (P <0.05). Before treatment, the Hamilton Depression Rating Scale (HAMD) and the FIM score were not significantly different between the study group and the control group (P> 0.05). After 8 weeks of treatment, the study group The scores of HAMD in patients with cerebral infarction and cerebral hemorrhage were 44.97 ± 11.48,44.94 ± 12.62 and 70.93 ± 17.86,68.42 ± 19.26 respectively, which were significantly higher than those in the control group (P <0.05). Conclusion: The neuromuscular electrical stimulation combined with conventional rehabilitation therapy can improve the activities of daily living and the depressive state of patients with stroke more significantly than those of conventional rehabilitation therapy alone.