| 张翔,王卉,张瑜,张一.气压治疗结合神经肌肉电刺激对脑卒中急性期患手肿胀的疗效观察[J].中国康复,2018,33(6):455-457 |
| 气压治疗结合神经肌肉电刺激对脑卒中急性期患手肿胀的疗效观察 |
| Curative effectiveness of intermittent pneumatic compression combined with neuromuscular electrical stimulation on hand swelling in acute stroke patients |
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| DOI： |
| 中文关键词: 气压治疗 神经肌肉电刺激 脑卒中 手肿胀 |
| 英文关键词: Pneumatic compression Neuromuscular electrical stimulation Stroke Hand edema |
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| 中文摘要: |
| 目的：探讨气压治疗结合神经肌肉电刺激对脑卒中急性期患手肿胀的疗效。方法：将80例重症监护室脑卒中后急性期手肿胀患者随机分为常规组、气压组、电刺激组和联合组各20例，4组患者早期均进行常规药物治疗和康复训练。在此基础上对电刺激组进行神经肌肉电刺激治疗、对气压组进行气压治疗、对联合组进行气压治疗和神经肌肉电刺激治疗。4组患者在治疗前及治疗1周、2周后进行手部水肿程度测量及掌指关节活动度（MMP）评定，并进行统计学分析。结果：治疗1周后，气压组及联合组较治疗前及常规组和电刺激组比较肿胀体积均明显下降（P<0.01），且联合组低于气压组（P<0.05），常规组及电刺激组与治疗前比较差异无统计学意义；治疗2周后，气压组及联合组较常规组及电刺激组比较肿胀体积明显下降（P<0.01），且联合组低于气压组（P<0.05），常规组及电刺激组在治疗2周后与治疗前比较体积明显下降（P<0.05）。治疗1及2周后，常规组及电刺激组患手MMP治疗前后各时间点比较均差异无统计学意义；气压组及联合组患手MMP均较治疗前及常规组和电刺激组明显提高（P<0.01），且联合组高于气压组（P<0.01）。结论：气压治疗结合神经肌肉电刺激可明显减轻脑卒中患手肿胀，改善关节活动度，且其消肿速度和改善关节活动度优于单纯气压和神经肌肉电刺激治疗。 |
| 英文摘要: |
| Objective: To observe the clinical effect of intermittent pneumatic compression (IPC) combined with neuromuscular electrical stimulation (NMES) on hand swelling in acute stroke patients. Methods: Eighty acute stroke patients with hand swelling in intensive care unit were equally divided into control group, IPC group, NMES group and combination group. Four groups were given conventional treatment and rehabilitation training. The IPC group was additionally given IPC treatment. The NMES group was given NMES treatment. The combination group was given IPC and NMES treatment. Efficacy was evaluated by measuring volume and metacarpophalangeal joint rang of movement (MP) before and 1 and 2 weeks after treatment.Results: The hand swelling in IPC and combination groups was significantly alleviated as compared with control group, especially combination group achieved the best results after 1 week. The hand swelling in IPC group continued to decrease in 2 weeks, but the effect in combination group was significantly improved as compared with IPC group after 2 weeks. The improvement of hand swelling in NMES group was less than in control group. The hand swelling in IPC group and combination group was improved more significantly than in NMES group. The ROM in IPC group and combination group was significantly increased in 2 weeks. The effect of combination group was the best. The ROM had no significant improvement in NMES group. Conclusion: IPC combined with NMES can obviously alleviate hand swelling and improve the ROM of acute stroke patients with hand swelling as compared with IPC and NMES alone. |
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