摘要
目的:探讨经颅超声治疗对脑出血患者神经功能恢复及日常生活活动能力的影响。方法:将64例脑出血患者随机分为3组:A组(n=23);B组(n=21)和C组(n=20)。3组患者均接受常规康复治疗,A组患者在原有治疗基础上运用经颅超声波治疗,超声强度为1.25W/cm2,每日1次,每次20min,连续15次为1疗程。中间休息3d,再进行下一疗程的治疗。B组患者每2日做1次经颅超声治疗,余同A组。3组分别于治疗前、治疗1个月后及3个月后进行神经功能缺损程度NIHSS评分和日常生活活动能力BI评分。结果:治疗前3组患者的神经功能缺损程度和日常生活活动能力无显著性差异(P>0.05)。治疗1个月、3个月后,分别将3组患者的神经功能缺失程度和日常生活活动能力评分与治疗前相比较,差异具有显著性意义(P<0.05)。治疗1个月后,3组患者的神经功能缺损程度评分和和日常生活活动能力评分相比较,差异无显著性意义(P>0.05)。治疗3个月后,A组和B组患者的神经功能缺损程度评分和日常生活活动能力评分与C组患者相比较,P<0.01,A组患者比B组患者改善更明显(P<0.01)。结论:经颅超声治疗可以改善脑出血患者的神经功能,提高患者的日常生活活动能力,但需要一定的治疗时间。
Objective： To study the effects of transcranial ultrasound（TUS） therapy on neurological function（NF） and activities of daily living （ADL） in patients with cerebral hemorrhage. Method： Sixty-four patients with cerebral hemorrhage were randomly divided into 3 groups： group A,（n=23）, group B,（n=21）and group C（control,n=20）. All the three groups received the similar conventional rehabilitation training,while the patients in group A and B were additionally treated with TUS therapy once every day and once every two days respectively, each time for 20 min. A treatment course lasted 15 times. The subsequent course were followed after 3-day rest. The scores of NIHSS and Barthel Index （BI） were assessed before treatment, and after 1 month and 3 months treatment. Result： Before treatment there was no significant difference of NF and ADL among 3 groups（P〉0.05）. After 1 month and 3 months treatment NF and ADL in 3 groups improved significantly as compared with that before treatment （P〈0.05）. After 1 month treatment there was no significant difference of NF and ADL among the 3 groups （P〉0.05）. However, after 3 months treatment NF and ADL in group A and group B improved significantly as compared with those in group C （P〈0.01）, and group A improved more significantly than group B （P〈0.01）. Conclusion：Transcranial ultrasound therapy could promote the recovery of neurological function and improve activities of daily living of patients with cerebral hemorrhage, hut it needs a relatively long period of time.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2008年第7期618-621,共4页
Chinese Journal of Rehabilitation Medicine
关键词
经颅超声
脑出血
神经功能缺损
日常生活活动能力
transcranial ultrasound
cerebral hemorrhage
neurological functional deficits
activities of daily living
