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肌电生物反馈治疗对脑梗死偏瘫患者的疗效观察

Effect of Electromyographic Biofeedback on Hemiplegic Patients with Cerebral Infarction
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摘要 目的观察肌电生物反馈治疗技术在脑梗死偏瘫患者中的治疗作用。方法 68例患者随机分组,药物+常规康复治疗+肌电生物反馈联合组(治疗组34例),单纯药物+常规康复治疗组(对照组34例)。入组前、治疗2周时应用美国国立卫生研究院卒中量表(NIHSS)评定神经功能缺失程度,应用Barthel指数(BI)评价日常生活能力。结果治疗前两组患者NIHSS评分差异无统计学意义(P>0.05),治疗组与对照组治疗后NIHSS评分分别为2.91分±1.21分与5.76分±4.17分,均较治疗前有明显降低(P<0.05)。治疗前两组患者Barthel指数评分差异无统计学意义(P>0.05),治疗后Barthel指数分别为82.35分±10.32分与67.21分±19.86分,较治疗前比较有明显升高(P<0.05),以肌电生物反馈治疗组提高更显著(P<0.05)。结论肌电生物反馈能有效促进脑梗死偏瘫患者肢体运动功能的恢复及日常生活能力的提高。 Objective To observe the effect of electromyographic biofeedback treatment on hemiplegic patients with cerebral infarction.Methods Sixty-eight patients were randomly divided into treatment group(n=34) treated with drug,rehabilitation,and electromyographic biofeedback,and control group(n=34) treated with drug and routine rehabilitation.Before and after treatment for 2 weeks,the neurological deficit level was assessed with National Institutes of Health Stroke Scale(NIHSS).The activities of daily life were assessed by Barthel index(BI).Results Before treatment,NIHSS scores were not significant difference between the two groups(P0.05).After treatment,NIHSS score was significantly decreased in two groups.It was decreased more significantly in treatment group(P0.05).Before treatment,there was no difference in BI score(P0.05).After treatment,BI score was significantly improved in treatment group(P0.05).Conclusion Electromyographic biofeedback could promote the recovery of limb motor function and improve the activities of daily life abilities in hemiplegic patients with cerebral infarction.
出处 《中西医结合心脑血管病杂志》 2011年第11期1332-1333,共2页 Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
关键词 肌电生物反馈治疗 脑梗死 偏瘫 electromyographic biofeedback cerebral infarction hemiplegia
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