干扰电疗法对重症监护下意识障碍患者肌肉萎缩的预防作用研究

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Abstract Objective To explore the preventive effect of interference electrical therapy on muscle atrophy in patients with subconscious disorder in intensive care. Methods A total of 40 patients with disorders of consciousness admitted to Jieyang People′s Hospital from January 2017 to June 2020 were selected as the research subjects and divided into the experimental group (20 cases) and the control group (20 cases) according to the random number table method. Patients in the control group were treated by passive movement method only, and patients in the experimental group were treated by adding 1 time/d interferential electrotherapy on top of the control group. The changes in the cross-sectional areas of the anterior femoral compartment (AT), posterior femoral compartment (PT), anterior leg compartment (AL) and posterior leg compartment (PL) of the two groups were compared by CT observation, and the changes in the ratio of muscle cross-sectional area were calculated using the muscle cross-sectional area at the time of admission as 100% to characterize the preventive effect of interferential electrotherapy on muscle atrophy in patients. Interferential electrical therapy was discontinued when the patient′s lower extremity mobility or level of consciousness improved. Results The level of consciousness improved in 6 patients in the experimental group during the treatment with interferential electrotherapy, and the percentages of AT, PT, AL and PL area were higher in the patients than those in the control group,and the differences were statistically significant (P＜0.05); the percentage of thigh muscle cross-sectional area in 14 patients in the experimental group after receiving interferential electrotherapy was higher than that in the control group at days 14, 21, 28, 35 and 42 of treatment, and the difference was statistically significant (P＜0.05). Conclusion Interference electrical therapy can effectively prevent muscle atrophy in patients with subconscious disorder in intensive care,help maintain the patient′s muscle function, and lay a good foundation for rehabilitation after the patient wakes up.

Key words： Interference electricity Disturbance of consciousness Muscle atrophy Muscle cross-sectional area

Received: 29 December 2020

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I19/49

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