摘要
目的观察经颅超声治疗对脑梗死神经功能恢复的效果。方法 84例急性期脑梗死患者随机分为经颅超声治疗组和对照组,经颅超声治疗组42例于住院后即予常规药物及康复加经颅超声治疗,对照组42例仅接受常规药物及康复治疗。治疗前及治疗后30d、60d、90d分别采用美国国立卫生院卒中量表(NIHSS)、改良量表(MRS)、卒中影响量表(SIS)对神经功能缺损程度、残疾程度、生活质量进行评定。结果治疗前经颅超声治疗组和对照组在NIHSS、MRS、SIS评分差异均无统计学意义(P>0.05);治疗30d后两组NIHSS、MRS、SIS评分与治疗前比较差异有统计学意义(P<0.01);经颅超声治疗组改善更明显,与对照组比较差异有统计学意义(P<0.01);治疗60d、90d随访,经颅超声组改善程度优于对照组,组间差异有统计学意义(P<0.01)。结论急性期脑梗死在常规治疗基础上结合经颅超声疗法,能显著减轻神经功能缺损程度,提高患者生活质量。
Objective To observe the effect of transcranial ultrasound treatment on recovery of patients with acute cerebral infarction. Methods 84 patients with acute cerebral infarction were randomly divided into transcranial ultrasound treatment group and control group.All patients were received drug and rehabilitation treatment in two groups,patients in transcranial ultrasound treatment group were treated with transcranial ultrasound.The degree of neurological impairment,disability and quality of life of the patients were evaluation by the US.National Institutes of Health Stroke Scale（ NIHSS）,modified scale（ MRS） and Stroke Impact Scale（ SIS） before treatment,after 30,60 and90 days treatment. Results Before treatment,there were no apparent difference（ P〉0. 05） in the NIHSS,MRS,SIS scores between the transcranial ultrasound group and control group.After 30 days treatment,patient conditions such as NIHSS,MRS and SIS were improved（ P〈 0. 01）,transcranial ultrasound group was more significant（ P 〈0. 01）.Treatment of 60 days,90 days follow-up,there were significant differences in the two Groups. The improvement of transcranial ultrasound group was still more significant（ P〈0.01）.Conclusion The transcranial ultrasound treatment can help the patients with acute cerebral infacrtion reduce disability,improve the degree of neurological impairment and raise quality of life.
出处
《脑与神经疾病杂志》
2016年第1期39-42,共4页
Journal of Brain and Nervous Diseases
关键词
经颅超声治疗
脑梗死
临床分析
Transcranial ultrasound treatment
Cerebral infarction
Clinical analysis
