中国医学前沿杂志（电子版）
中國醫學前沿雜誌（電子版）
중국의학전연잡지（전자판）
CHINESE JOURNAL OF THE FRONTIERS OF MEDICAL SCIENCE(ELECTRONIC VERSION)
2014年
6期
44-46
,共3页
脑梗死%痉挛型构音障碍%功能性电刺激%电针
腦梗死%痙攣型構音障礙%功能性電刺激%電針
뇌경사%경련형구음장애%공능성전자격%전침
Cerebral infarction%Spastic dysarthria%Functional electrical stimulation%Electric acupuncture
目的：探讨采用功能性电刺激联合电针早期干预对痉挛型构音障碍脑梗死患者的临床疗效。方法将132例痉挛型构音障碍脑梗死患者随机均分为两组，均给予灯盏细辛注射液静脉滴注加常规药物治疗，对照组患者在此基础上行电针治疗，研究组患者在对照组基础上行功能性电刺激联合电针治疗，比较两组临床疗效。结果治疗前两组患者MBI、NIHSS评分差异无显著性（P＞0.05），治疗后MBI评分较治疗前提高，NIHSS评分较治疗前降低（P＝0.000），治疗后研究组患者MBI评分高于对照组，NIHSS评分较对照组低，差异有显著性（t＝6.617，P＝0.000；t＝2.724，P＝0.007）；两组治疗后Frenchay构音障碍等级较治疗前明显改善，研究组患者Frenchay构音障碍评定等级改善程度优于对照组，差异有显著性（Z＝-2.235，P＝0.025）。结论功能性电刺激联合电针早期干预治疗痉挛型构音障碍脑梗死具有疗效好，不良反应少等特点。
目的：探討採用功能性電刺激聯閤電針早期榦預對痙攣型構音障礙腦梗死患者的臨床療效。方法將132例痙攣型構音障礙腦梗死患者隨機均分為兩組，均給予燈盞細辛註射液靜脈滴註加常規藥物治療，對照組患者在此基礎上行電針治療，研究組患者在對照組基礎上行功能性電刺激聯閤電針治療，比較兩組臨床療效。結果治療前兩組患者MBI、NIHSS評分差異無顯著性（P＞0.05），治療後MBI評分較治療前提高，NIHSS評分較治療前降低（P＝0.000），治療後研究組患者MBI評分高于對照組，NIHSS評分較對照組低，差異有顯著性（t＝6.617，P＝0.000；t＝2.724，P＝0.007）；兩組治療後Frenchay構音障礙等級較治療前明顯改善，研究組患者Frenchay構音障礙評定等級改善程度優于對照組，差異有顯著性（Z＝-2.235，P＝0.025）。結論功能性電刺激聯閤電針早期榦預治療痙攣型構音障礙腦梗死具有療效好，不良反應少等特點。
목적：탐토채용공능성전자격연합전침조기간예대경련형구음장애뇌경사환자적림상료효。방법장132례경련형구음장애뇌경사환자수궤균분위량조，균급여등잔세신주사액정맥적주가상규약물치료，대조조환자재차기출상행전침치료，연구조환자재대조조기출상행공능성전자격연합전침치료，비교량조림상료효。결과치료전량조환자MBI、NIHSS평분차이무현저성（P＞0.05），치료후MBI평분교치료전제고，NIHSS평분교치료전강저（P＝0.000），치료후연구조환자MBI평분고우대조조，NIHSS평분교대조조저，차이유현저성（t＝6.617，P＝0.000；t＝2.724，P＝0.007）；량조치료후Frenchay구음장애등급교치료전명현개선，연구조환자Frenchay구음장애평정등급개선정도우우대조조，차이유현저성（Z＝-2.235，P＝0.025）。결론공능성전자격연합전침조기간예치료경련형구음장애뇌경사구유료효호，불량반응소등특점。
Objective To study the spastic dysarthria patients with cerebral infarction using functional electrical stimulation (FES) in combination with electric acupuncture (EA) the clinical curative effect of early intervention. Method 132 cases of cerebral infarction were spastic dysarthria patients were randomly divided into two groups, all give lamps asarum injection intravenous drip and regular medication, the control group on the basis of uplink cupping treatment, team based uplink functional electrical stimulation combined cupping treatment in the control group, compared two groups of clinical curative effect. Result The two groups before treatment MBI, NIHSS score difference has no statistical signiifcance (P>0.05), after treatment MBI scores was improved, the NIHSS score was lower (P=0.000), the team MBI scores higher than the control group after treatment, NIHSS score was lower than those of control group, the difference was statistically signiifcant (t=6.617, P=0.000;t=2.724, P=0.007). The two groups after treating Frenchay dysarthria level was obviously improved, the team Frenchay dysarthria improved rating was better than that of control group, difference was statistically signiifcant (Z=-2.235, P=0.025). Conclusion FES joint EA treatment of cerebral infarction spastic dysarthria has good curative effect, less adverse reaction, etc.
