摘要
目的探讨神经肌肉电刺激(NMES)联合运动疗法对臂丛神经损伤患者的临床疗效。方法抽取2017年9月至2020年7月郑州颐和医院收治的臂丛神经损伤患者60例,按随机数字表法分为NMES组与运动疗法组,每组30例。运动疗法组采用运动疗法治疗,NMES组在运动疗法的基础上加用NMES治疗。比较两组患者的治疗优良率,统计并比较两组治疗前后肌力恢复情况、关节活动度(肩外展、肘屈曲)和视觉模拟评分法(VAS)、睡眠状况自评量表(SRSS)、臂丛功能评分。结果治疗3个月后,NMES组优良率为93.33%(28/30),高于运动疗法组的70.00%(21/30),P<0.05。治疗后,两组VAS、SRSS评分均低于治疗前,且NMES组低于运动疗法组(P<0.05)。治疗后,NMES组肌力分级优于运动疗法组(P<0.05)。治疗后,两组肩外展、肘屈曲活动度均较治疗前提高,且NMES组关节活动度高于运动疗法组(P<0.05)。治疗后,两组臂丛功能评分均较治疗前提高,且NMES组臂丛功能评分高于运动疗法组(P<0.05)。结论NMES联合运动疗法治疗臂丛神经损伤,可提高患者的上肢自主生活能力优良率,减轻疼痛,改善睡眠质量,并可改善肌力和关节活动度,加快患者臂丛功能恢复。
Objective To investigate the effects of neuromuscular electrical stimulation(NMES)combined with exercise therapy on patients with brachial plexus injury.Methods A total of 60 patients with brachial plexus injury treated in Zhengzhou Yihe Hospital from September 2017 to July 2020 were selected and divided into NMES group and exercise therapy group according to the random number table method,with 30 cases in each group.The exercise therapy group was treated by exercise therapy,and the NMES group was treated by NMES based on the treatment of the exercise therapy.The excellent and good rates of the two groups were compared.And the recovery of muscle strength,joint range of motion(shoulder abduction,elbow flexion),visual analogue scale(VAS)score,self-rating scale of sleep(SRSS),and brachial plexus function scores of the two groups were counted and compared before and after treatment.Results After 3 months of treatment,the excellent and good rate of NMES group was 93.33%(28/30),higher than 70.00%(21/30)of exercise therapy group(P<0.05).After treatment,the scores of VAS and SRSS in both groups were lower than those before treatment,and those in the NMES group were lower than those in the exercise therapy group(P<0.05).After treatment,the muscle strength classification of the NMES group was better than that of the exercise therapy group(P<0.05).After treatment,the shoulder abduction and elbow flexion activities of the two groups were higher than those before treatment,and the joint range of motion in NMES group were higher than those in the exercise therapy group(P<0.05).After treatment,the brachial plexus function scores in both groups were higher than those before treatment,and the brachial plexus function scores in NMES group was higher than that in exercise therapy group(P<0.05).Conclusions NMES combined with exercise therapy in patients with brachial plexus injury can improve the excellent and good rate of autonomous living ability of upper limbs,relieve pain,improve sleep quality,improve muscle strength and joint m
作者
蒋丰敬
樊红霞
梁会超
Jiang Fengjing;Fan Hongxia;Liang Huichao(Department of Rehabilitation Medicine,Zhengzhou Yihe Hospital,Zhengzhou 450000,China)
出处
《中国实用医刊》
2021年第7期80-83,共4页
Chinese Journal of Practical Medicine
关键词
臂丛神经
损伤
神经肌肉电刺激
运动疗法
臂丛功能评分
优良率
关节活动度
Brachial plexus
Injury
Neuromuscular electrical stimulation
Exercise therapy
Brachial plexus function score
Excellent and good rate
Joint range of motion
