摘要
目的:观察经头颅负极性低频脉冲磁疗对脑卒中偏瘫患者康复过程的影响。方法:脑卒中偏瘫患者60例,将低频交变电脉冲磁治疗仪的5个治疗导体分别置于患者前额、双侧颞叶和小脑对应的头皮投影位置,治疗20 min,每天1次;同时给予针灸和肢体运动功能康复治疗。结果:60例患者综合治疗10-35 d后,MAS评分与治疗前比较明显提高(34.83±9.28、18.48±10.76,P<0.01);≥75岁年龄段患者MAS评分明显低于<75岁的患者(P<0.01);发病1 d与发病45 d才开始接受治疗的患者比较差异无显著性意义;合并有糖尿病的患者对疗效无明显影响。结论:低频脉冲磁疗能直接透过颅骨作用于脑细胞和脑血管,改善脑组织的供血、供氧和神经细胞的代谢环境,与其它康复措施相结合,更有利于脑卒中偏瘫的康复。
Objective:To observe the effects of reverse low frequency pulse magnetic field on rehabilitation of poststroke hemiplegic patients. Methods: In 60 patients with post-stroke hemiplegia, reverse low frequency pulse magnetic stimulation was given at head, for 20 rain once every day, and acupuncture, facilitation technique of hemiplegic limbs were done simultaneously. Results:After comprehensive treatment for 30-35 days in 60 patients, MAS scores were significantly increased as compared with those before treatment (34.83±9.28 vs 18.48±10.76, P〈0.0001). After treatment, the MAS scores in the patients ≥75 years old were significantly lower than those in the patients 〈75 years old. Starting time of treatment and diabetes mellitus had no significant effect on the curative effectiveness. Conclusion:The reverse low frequency pulse magnetic field has certain protective effects on brain nerve cells, and its combined use with clinical therapies could more significantly improve the motor function of limbs of the post-stroke hemiplegic patients.
出处
《中国康复》
2006年第5期314-315,共2页
Chinese Journal of Rehabilitation
关键词
磁疗法
脑卒中
偏瘫
康复治疗
reverse low frequency pulse magnetic field
stroke
hemiplegia
rehabilitation