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目的:探讨功能性电刺激(FES)对脑血管病偏瘫侧体感诱发电位的影响。方法:对本院11例急性脑梗死患者分为对照组6例和FES刺激组5例。对照组患者入院后采用常规的运动康复方法,FES刺激组在常规运动康复方法上给予FES刺激,两组患者治疗前后分别给予SEP检测。在所有患者入院后1个月给予MAS、MESSS评分和随访观察患者3个月内的活动情况并进行Frenchay评分。结果:对照组患者常规治疗后SEP N20的潜伏期缩短,波幅增高,治疗前后比较差异显著P<0.05。FES组患者治疗后SEP N20的潜伏期缩短,波幅明显增高,治疗前后比较差异显著P<0.05,并且FES组的差异性大于对照组。对照组和FES组患者治疗后的SEP N20潜伏期和波幅比较,差异显著P<0.05。SEP与MESSS、MAS和Frenchay具有相关性。结论:早期行FES电刺激治疗,可以有效地改善脑血管病患者偏瘫肢体的运动功能进而提高患者的日常活动能力。
Objective: To investigate the effect of functional electrical stimulation (FES) on somatosensory evoked potentials of hemiplegia on cerebrovascular disease. Methods: 11 patients with acute cerebral infarction in our hospital were divided into control group (6 cases) and FES stimulation group (5 cases). The patients in the control group were admitted to the hospital after routine exercise rehabilitation. The FES stimulation group was given FES stimulation in the routine exercise rehabilitation. The two groups were given SEP before and after treatment. All patients were given MAS 1 month after admission, MESSS score and follow-up observation of patients within 3 months of activity and Frenchay score. Results: In the control group, the incubation period of SEP N20 was shortened and the amplitude was increased after treatment. The difference was significant before and after treatment (P <0.05). The latency of SEP N20 in FES group was shortened and the amplitude of SEP increased significantly after treatment, the difference was significant before and after treatment (P <0.05), and the difference of FES group was greater than that of control group. The latency and amplitude of SEP N20 after treatment in control group and FES group were significantly different (P <0.05). SEP is related to MESSS, MAS and Frenchay. Conclusion: FES stimulation can improve the motor function of hemiparetic limbs in patients with cerebrovascular disease and improve their daily activities.