CAJ | 학술논문

目的：探讨肌电生物反馈治疗对脑梗死偏瘫患者肢体康复的治疗意义。方法按病程将我院神经内科住院确诊为脑梗死患者分为急性期治疗组（257例）与恢复期治疗组（178例）两组。急性期治疗组病情稳定48h后进行瘫痪肢体生物反馈治疗，恢复期治疗组入院即开始进行生物反馈治疗。治疗前、治疗后7d及治疗结束后采用美国国立卫生院卒中量表(NIHSS)、简氏Fugl-Meyer评定量表(FMA)评价患者的神经功能缺损程度以及患肢的运动功能，应用Barthel指数(BI)评价患者的日常生活能力(ADL)。结果两组患者在治疗前所有评分无统计学差异。急性期治疗组患者治疗后各项评分均有显著提高(P<0.001)；急性期治疗组疗效优于恢复期治疗组(P<0.05)。结论肌电生物反馈治疗对脑梗死偏瘫患者康复治疗有效。对急性期脑梗死患者的瘫痪肢体进行早期生物反馈训练康复治疗，能显著改善患者日常生活活动能力，降低致残率，提高生活质量。
목적：탐토기전생물반궤치료대뇌경사편탄환자지체강복적치료의의。방법안병정장아원신경내과주원학진위뇌경사환자분위급성기치료조（257례）여회복기치료조（178례）량조。급성기치료조병정은정48h후진행탄탄지체생물반궤치료，회복기치료조입원즉개시진행생물반궤치료。치료전、치료후7d급치료결속후채용미국국립위생원졸중량표(NIHSS)、간씨Fugl-Meyer평정량표(FMA)평개환자적신경공능결손정도이급환지적운동공능，응용Barthel지수(BI)평개환자적일상생활능력(ADL)。결과량조환자재치료전소유평분무통계학차이。급성기치료조환자치료후각항평분균유현저제고(P<0.001)；급성기치료조료효우우회복기치료조(P<0.05)。결론기전생물반궤치료대뇌경사편탄환자강복치료유효。대급성기뇌경사환자적탄탄지체진행조기생물반궤훈련강복치료，능현저개선환자일상생활활동능력，강저치잔솔，제고생활질량。
Objective To explore the effects of electromyography biofeedback (EMGBF) in rehabilitation treatment of hemi-plegic patients with cerebral infarction. Methods Stroke patients were divided into acute phase group and recovery phase group according to the course of disease. Acute phase group received the EMG biofeedback therapy after 48h of smooth condition. Re-covery phase group received the EMG biofeedback therapy after hospitalized. NIHSS score,Furl-Meyer score and Barthel index were observed before and after treatment. Results There was no significant difference between two groups before treatment (P>0. 05). After treatment,acute phase groups showed significantly increasing of all scores (P<0.001). There was a significant difference between two groups (P<0.05). Concusion The electromyography biofeedback therapy is effective in rehabilitation treatment of Hemiplegic patients with cerebral infarction. Early electromyography biofeedback therapy in acute phase of stroke can improve a-bility of daily living,Reduce morbidity and improve living quality.