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目的研究早期康复训练(ERP)联合神经肌肉电刺激(NMES)对98例脑出血偏瘫患者的临床疗效观察。方法选择2012年7月至2013年7月在内蒙古医科大学附属医院进行治疗的脑出血偏瘫患者98例,其中男性58例,女性40例;年龄29~77岁,平均年龄55.9岁。以数字法随机分成观察组(50例)及对照组(48例)。对照组实施常规治疗及患者自我锻炼方案,观察组在此基础上另予以ERP联合NMES方案治疗,1个月后对比2组疗效情况及治疗前后的格拉斯哥昏迷量表(GCS)评分情况。通过电话随访的方式对所有患者随访1年,评价远期疗效。结果观察组总有效率为98.00%(49/50),显著高于对照组83.33%(40/48),差异有统计学意义(P<0.05)。两组在治疗后GCS评分均有显著改善,但观察组治疗后GCS评分显著高于对照组,差异均有统计学意义(P<0.05)。观察组随访3个月和6个月时总有效率均为98.00%,随访1年时总有效率为100.00%,均分别显著高于对照组(83.33%、85.42%、87.50%),差异均有统计学意义(P<0.05)。结论对脑出血合并偏瘫患者实施ERP联合NMES治疗,能够使患者获得较好预后,值得临床推荐。
Objective To study the clinical effects of early rehabilitation training (ERP) and neuromuscular stimulation (NMES) on 98 patients with cerebral hemorrhage hemiplegia. Methods 98 cases of cerebral hemorrhage hemiplegia were treated in the Affiliated Hospital of Inner Mongolia Medical University from July 2012 to July 2013. There were 58 males and 40 females, ranging in age from 29 to 77 years with a mean age of 55.9 years. Randomly divided into observation group (50 cases) and control group (48 cases). The control group was given conventional treatment and self-exercise program. The observation group was additionally treated with ERP and NMES regimen. After 1 month, the curative effect of the two groups was compared with that of Glasgow Coma Scale (GCS) before and after treatment. All patients were followed up by telephone for 1 year to evaluate the long-term efficacy. Results The total effective rate in the observation group was 98.00% (49/50), which was significantly higher than that in the control group (83.33%, 40/48). The difference was statistically significant (P <0.05). The GCS scores of both groups were significantly improved after treatment, but the GCS scores of the observation group after treatment were significantly higher than those of the control group (P <0.05). The total effective rate was 98.00% at 3 months and 6 months follow-up in the observation group and 100.00% at 1 year follow-up respectively, which were significantly higher than those in the control group (83.33%, 85.42% and 87.50% respectively) There was statistical significance (P <0.05). Conclusions The combination of ERP and NMES in patients with cerebral hemorrhage complicated with hemiplegia can make the patients get better prognosis and is worthy of clinical recommendation.