CAJ | 학술논문

目的：应用功能性电刺激结合智能运动治疗脑卒中偏瘫患者，并观察其疗效，探讨脑卒中患者康复治疗的新方法。方法入选我院神经科经头颅C T或头颅M RI检查证实的脑卒中偏瘫患者110例，随机分为4组，所有患者均给予神经内科常规治疗及基础康复。A组加用功能性电刺激仪智能运动进行同步智能运动训炼；B组单用功能性电刺激，C组单用智能运动系统进行肢体运动，D组常规康复治疗。康复6周，治疗前后采用 Fugl-Meyer运动功能量表（FMA）、Berg平衡量表（BBS）、Barthel指数评定（BI）进行评定。结果4组治疗后FMA、BBS、BI评分比较差异均有统计学意义（P＜0.05）；治疗后A组评分与其他3组相比，差异有统计学意义（P＜0.05），说明A组功能改善最显著；B组、C组治疗后与D组相比差异有统计学意义（P＜0.05），说明B组、C组治疗较D组有效，功能改善较D组明显，但治疗后B组、C组组间对比差异无统计学意义（ P＞0.05）。结论在基础康复治疗上进行功能性电刺激结合智能运动系统训练，对脑卒中患者偏瘫会产生积极影响，对患者上下肢运动功能，平衡能力，均有积极改善作用，最终改善了脑卒中偏瘫患者的日常生活能力，提高患者生存和生活质量，明显优于单纯基础康复及基础康复加功能性电刺激或单纯智能运动，为脑卒中偏瘫患者康复提供了新方法。
목적：응용공능성전자격결합지능운동치료뇌졸중편탄환자，병관찰기료효，탐토뇌졸중환자강복치료적신방법。방법입선아원신경과경두로C T혹두로M RI검사증실적뇌졸중편탄환자110례，수궤분위4조，소유환자균급여신경내과상규치료급기출강복。A조가용공능성전자격의지능운동진행동보지능운동훈련；B조단용공능성전자격，C조단용지능운동계통진행지체운동，D조상규강복치료。강복6주，치료전후채용 Fugl-Meyer운동공능량표（FMA）、Berg평형량표（BBS）、Barthel지수평정（BI）진행평정。결과4조치료후FMA、BBS、BI평분비교차이균유통계학의의（P＜0.05）；치료후A조평분여기타3조상비，차이유통계학의의（P＜0.05），설명A조공능개선최현저；B조、C조치료후여D조상비차이유통계학의의（P＜0.05），설명B조、C조치료교D조유효，공능개선교D조명현，단치료후B조、C조조간대비차이무통계학의의（ P＞0.05）。결론재기출강복치료상진행공능성전자격결합지능운동계통훈련，대뇌졸중환자편탄회산생적겁영향，대환자상하지운동공능，평형능력，균유적겁개선작용，최종개선료뇌졸중편탄환자적일상생활능력，제고환자생존화생활질량，명현우우단순기출강복급기출강복가공능성전자격혹단순지능운동，위뇌졸중편탄환자강복제공료신방법。
Objective To observe the efficacy of functional electrical stimulation combined with intelligent motion on motor function of hemiplegic patients with cerebral infarction , and to explore new methods for rehabilitation in stroke pa-tients.Methods One hundred and ten cerebral apoplexy patients with hemiplegia confirmed by CT or head MRI admitted to our hospital had been chosen and divided into 4 groups ,who were all given general treatment and infrastructure rehabilitation. A group was added with functional electrical stimulation and intelligent motion to synchronize exercise of intelligence and motion ;B group was added with functional electrical stimulation alone ,C group with intelligent motion system alone ,D group was per-formed with routine rehabilitation treatment. Limb movement training was carried out for 6 weeks. before and after treatment , Fugl-Meyer motor function scale (FMA) ,Barthel index evaluation (BI) ,Berg balance scale (BBS) were used to evalu-ate.Results After treatment ,the FMA ,BI ,and BBS scores of 4 group patients were significantly different from those of be-fore treatment(P<0.05);the scores of A Group was significantly different from those of other three groups after treatment (P<0.05) ,which indicated that the motion function of group A improved most obviously ;Group B and C improved more obvi-ously than group D(P<0.05);but there is no statistical significance between group B and group C (P>0.05).Conclusion On the basis of infrastructure rehabilitation ,functional electrical stimulation combined with intelligent motion training on hemiple-gic patients with cerebral apoplexy will have a positive impact on the their limb motor function and balance ,have a positive im-provement ,and ultimately improve the hemiplegic patients'activities of daily living ,improve their survival and quality of life , significantly provides a new method of rehabilitation.