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目的:探讨信号式功能性电刺激对脑卒中患者认知功能的影响。方法:脑卒中偏瘫患者34例,分为A组8例、B组8例、C组7例及D组11例,分别配合给予信号式功能性电刺激、国产低频电刺激、肌电反馈电刺激及操作同A组,但无电刺激输出。于治疗前、治疗后20d时用简易精神评定量表(MMSE)及功能综合评定量表(FCA)的认知部分对各组患者进行精神状态及认知功能评定。结果:经过20d的治疗,A、C组FCA认知部分和MMSE评分与治疗前及B、D组比较均有明显提高(P<0.05);A组与C组治疗前后的差值比较差异无统计学意义。B、D组与治疗前及治疗后2组间差值比较均差异无统计学意义。结论:信号式功能性电刺激与肌电反馈电刺激治疗均可促进脑卒中患者受损的神经功能恢复,改善情绪障碍,提高认知功能。
Objective: To investigate the effect of signal-type functional electrical stimulation on cognitive function in patients with stroke. Methods: Thirty-four stroke patients with hemiplegia were divided into group A (8 cases), group B (8 cases), group C (7 cases) and group D (11 cases). The patients were given signal type functional electrical stimulation, domestic low frequency electrical stimulation, Stimulation and operation with the A group, but no electrical stimulation output. Before treatment and 20 days after treatment, mental status and cognitive function were evaluated in all groups according to MMSE and FCA cognitive function. Results: After 20 days of treatment, the scores of FCA and MMSE in group A and group C were significantly higher than those before treatment and in group B and group D (P <0.05). There was no significant difference between group A and group C before and after treatment Statistical significance. There was no significant difference in the difference between the two groups before and after treatment in groups B and D. CONCLUSION: Both signal-type functional electrical stimulation and EMG-fed electrical stimulation can promote the recovery of impaired neurological function, improve mood disorder and improve cognitive function in patients with stroke.