文章摘要
梁晓昱,方蔓倩,杨燕冰,朱 婷,蒋海平.功能性电刺激联合循环运动系统对老年脑卒中后肌肉衰减综合征患者肢体功能、平衡能力以及认知功能的影响[J].,2022,(9):1713-1717
功能性电刺激联合循环运动系统对老年脑卒中后肌肉衰减综合征患者肢体功能、平衡能力以及认知功能的影响
Effect of Functional Electrical Stimulation Combined with Circulatory System on Limb Function, Balance Ability and Cognitive Function in Elderly Patients with Cerebral-stroke Sarcopenia
投稿时间:2021-11-06  修订日期:2021-11-27
DOI:10.13241/j.cnki.pmb.2022.09.023
中文关键词: 功能性电刺激  脑循环系统治疗  脑卒中  肌肉衰减综合征
英文关键词: Functional electrical stimulation  Cerebral circulation therapy  Cerebral Stroke  Sarcopenia
基金项目:上海市卫生健康委员会科研项目(20214Y0033)
作者单位E-mail
梁晓昱 上海中医药大学附属曙光医院老年医学科 上海 200021 miagai@163.com 
方蔓倩 上海中医药大学附属曙光医院老年医学科 上海 200021  
杨燕冰 上海中医药大学附属曙光医院老年医学科 上海 200021  
朱 婷 上海中医药大学附属曙光医院老年医学科 上海 200021  
蒋海平 上海中医药大学附属曙光医院健康管理中心 上海 200021  
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中文摘要:
      摘要 目的:研究功能性电刺激联合循环运动系统对老年脑卒中后肌肉衰减综合征患者肢体功能、平衡能力以及认知功能的影响。方法:选择2020年6月到2021年6月在我院进行康复治疗的老年脑卒中后肌肉衰减综合征患者64例,据其治疗方式的不同分为对照组和研究组,两组患者均给予常规康复治疗,对照组患者在常规治疗的基础上加用功能性电刺激治疗,而研究组在对照组基础上加用脑循环系统治疗仪进行治疗,比较两组患者临床治疗疗效。使用运动功能评分法(FMA)和上肢功能评定(STEF)评价肢体患者功能,使用平衡量表(BBS)和Fuglg-Meyer平衡量表(FM-B)评价患者平衡能力,使用自拟认知量表评价患者认知功能。结果:(1)研究组患者临床治疗总有效率较对照组高(93.75 % vs 75.00 %,P<0.05);(2)两组患者治疗后FMA和STEF评分均显著增高(P<0.05),并且研究组患者治疗后BBS和FM-B评分显著高于对照组患者(P<0.05);(3)两组患者治疗后BBS和FM-B评分均显著增高,并且研究组患者治疗后BBS和FM-B评分显著高于对照组患者(P<0.05);(4)两组患者治疗后认知功能评分均升高,并且研究组患者较对照组患者高(P<0.05)。结论:功能性电刺激联合循环运动系统对老年脑卒中后肌肉衰减综合征患者具有显著的临床治疗效果,可显著改善患者肢体功能、平衡能力和认知功能。
英文摘要:
      ABSTRACT Objective: To study the effect of functional electrical stimulation combined with circulatory system on limb function, balance ability and cognitive function in elderly patients with cerebral-stroke sarcopenia. Methods: Sixty-four elderly patients with cerebral-stroke sarcopenia who were selected for rehabilitation in our hospital from June 2020 to June 2021 were divided into control group and study group according to their treatment methods. Both groups were given conventional rehabilitation treatment The patients in the control group were treated with functional electrical stimulation on the basis of conventional treatment, while the study group was treated with cerebral circulation therapy equipment on the basis of the treatment of patients in the control group, and the clinical therapeutic effects of the two groups were compared. We use motor function score (FMA) and upper limb function assessment (STEF) to evaluate the function of limb patients, and use the balance scale (BBS) and Fuglg-Meyer balance scale (FM-B) to evaluate the balance ability of patients, and use the cognitive scale to evaluate the cognitive function of patients. Results: (1) The total effective rate of clinical treatment in the study group was higher than that in the control group (93.75 % vs 75.00 %, P<0.05); (2) The FMA and STEF scores of the two groups were higher, the BBS and FM-B scores of the patients in the study group were higher than those in the control group(P<0.05); (3) The BBS and FM-B scores of the two groups of patients posttreatment increased, and the patients in the study group posttreatment, BBS and FM-B scores were higher than those of the control group(P<0.05); (4) The cognitive function scores of the two groups of patients were increased Posttreatment, and the cognitive function scores of the study group were higher posttreatment Patients in the control group (P<0.05). Conclusion: Functional electrical stimulation combined with circulatory movement system has a significant clinical treatment effect for elderly patients with cerebral-stroke sarcopenia, and can significantly improve the patient's limb function, balance ability and cognitive function.
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