冲击波联合经皮神经电刺激治疗脑卒中后腓肠肌痉挛的效果

摘要
图/表
参考文献(15)
相关文章 (15)

全文: PDF (0 KB) HTML (31 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨冲击波联合经皮神经电刺激（TENS）在脑卒中（CVA）后腓肠肌痉挛临床治疗中的应用价值。方法选取2018年2～7月我院接收的30例CVA后腓肠肌痉挛患者并将其进行奇偶排序，15例奇数作为观察组，接受冲击波联合TENS，15例偶数作为对照组，接受TENS。比较两组的治疗效果及治疗前后腓肠肌肌束长度变化情况以及运动能量（FMA）评分、日常生活能力（ADL）评分情况。结果观察组治疗总有效率为93.33%，明显高于对照组的73.33%，差异有统计学意义（P<0.05）；两组治疗前踝关节0°位、踝关节跖屈30°位腓肠肌肌束长度比较，差异无统计学意义（P＞0.05），观察组治疗后踝关节0°位、踝关节跖屈30°位腓肠肌肌束长度明显高于对照组，差异有统计学意义（P<0.05）；治疗前，观察组FMA、ADL评分与对照组比较，差异无统计学意义（P＞0.05）；治疗后，观察组FMA、ADL评分明显高于治疗前、对照组，差异有统计学意义（P<0.05）。结论 CVA后腓肠肌痉挛患者采用冲击波联合TENS效果较为显著，有效的促进了患者运动功能的恢复，值得临床推广使用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	叶慧敏
	丁德权
	黎月桃

关键词 ：脑卒中, 冲击波, 腓肠肌痉挛, 经皮神经电刺激

Abstract：Objective To explore the application value of shock wave combined with transcutaneous electrical nerve stimulation （TENS）in treatment of gastrocnemius spasm after stroke (CVA).Methods All of 30 cases of patients with gastrocnemius spasm after CVA who received in our hospital from February to July 2018 were selected,and were numbered by the odd and even.15 cases of odd numbered patients were treated with shock wave combined with TENS as the observation group,while 15 cases of even number of patients were treated with TENS as the control group.Then,the treatment effect and changes of the length of the gastrocnemius muscle bundles,the exercise energy (FMA)score and activity of daily living(ADL)score before and after treatment of two groups of patients were compared.Results The total effective rate of treatment in the observation group was 93.33%,which was higher than that in the control group of 73.33% (P<0.05).There was no significant difference in ankle 0°position and ankle plantar flexion 30°position extremely acute fasciculus length before treatment between the two groups(P＞0.05).After treatment,the ankle 0°position and ankle metatarsal flexion 30°position extremely acute fasciculus length in the observation group were significantly higher than those in the control group (P<0.05).Before treatment,there was no significant difference in FMA and ADL scores between the observation group and the control group (P＞0.05).After treatment,the scores of FMA and ADL in the observation group were higher than those before treatment and in the control group(P<0.05).Conclusion The treatment effects of shock wave combined with TENS in treatment of gastrocnemius spasm after CAV are significant,which can effectively promote the recovery of motor function of patients,thus it is worth promoting and using.

Key words： Stroke Shock wave Gastrocnemius spasm Transcutaneous electrical nerve stimulation

引用本文:

叶慧敏；丁德权；黎月桃. 冲击波联合经皮神经电刺激治疗脑卒中后腓肠肌痉挛的效果[J]. 中国当代医药, 2019, 26(16): 71-73.
YE Hui-min； DING De-quan； LI Yue-tao. Effect of shock wave combined with transcutaneous electrical nerve stimulation in treatment of gastrocnemius spasm after stroke. 中国当代医药, 2019, 26(16): 71-73.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2019/V26/I16/71

[1]	黄小静.经皮神经电刺激结合肩胛带训练治疗脑卒中后偏瘫肩痛的疗效观察[J].中国实用医药，2017，12（33）：149-151.
[2]	王建晖，WangJianjun.综合康复训练联合经皮神经电刺激疗法对脑卒中偏瘫后患者肩痛的疗效观察[J].国际医药卫生导报，2016，22（10）：1401-1403.
[3]	Wang JS.Therapeutic effects of massage and electrotherapy on muscle tone，stiffness and muscle contraction following gastrocnemius muscle fatigue[J].J Phys Ther Sci，2017，29（1）：144-147.
[4]	温优良，罗毅卿，唐小冬，等.经皮穴位电刺激治疗脑卒中后认知功能障碍的临床随机对照研究[J].中国全科医学，2017，20（S2）：12-15.
[5]	高国胜，张素钊.经皮穴位神经肌肉电刺激治疗脑卒中后手功能障碍临床观察[J].中国中医急症，2016，25（8）：1610-1612.
[6]	Tian DS，Jing JH，Qian J，et al.Effect of oscillating electrical field stimulation on motor function recovery and myelin regeneration after spinal cord injury in rats[J].J Phys Ther Sci，2016，28（5）：1465-1471.
[7]	周科望，陈旭丰，郭旭，等.经皮电刺激神经疗法结合运动疗法治疗肩-手综合征的疗效观察[J].现代实用医学，2017，29（8）：1012-1014.
[8]	赵燕星，唐元章，杨慧婕，等.经皮穿刺三叉神经半月节射频热凝术中神经电刺激强度与术后并发症相关性分析[J].实用医学杂志，2016，32（19）：3194-3196.
[9]	Gao RQ，Tang CL，Huang SQ，et al.Effects of electroacupuncture on apoptosis-related protein expression of gastrocnemius muscle cells in rats with denervated sciatic nerve][J].Acupunct Res，2017，42（4）：302-307.
[10]	丁丽君，荣积峰，王卫宁，等.经皮穴位电刺激对脑卒中后手功能的康复效果[J].中国康复理论与实践，2017，3（1）：10-13.
[11]	Yang YJ，Pessin JE，Wang L.High frequency electrical stimulation of sciatic nerve enhances skeletal muscle autophagy in mice[J].Acta Physiol Sin，2017，69（4）：422-428.
[12]	吴超伦，徐赛，程图，等.经皮穴位电刺激联合石蜡疗法在脑卒中后偏瘫患者手功能及肢体康复中的作用[J].实用临床医药杂志，2017，21（9）：16-19.
[14]	赵少忠，康珊.熄风通络颗粒联合经皮穴位电刺激对脑卒中患者肢体功能、神经功能的影响[J].实用心脑肺血管病杂志，2016，24（3）：90-92.
[15]	逯霞，艾克拜尔·哈里克，许健，等.肌电图仪经皮神经肌肉定位定量电刺激对腓总神经损伤的疗效分析[J].中国医药导报，2017，14（19）：51-54.
[13]	Yin G，Chen H， Hou C，et al.Obturator nerve transfer to the Branch of the tibial nerve innervating the gastrocnemius muscle for the treatment of sacral plexus nerve injury[J].Neurosurgery，2016，78（4）：546-551.