首页|功能性电刺激联合运动训练治疗老年脑卒中后神经功能康复及神经元特异性烯醇化酶的影响

功能性电刺激联合运动训练治疗老年脑卒中后神经功能康复及神经元特异性烯醇化酶的影响

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目的 分析给予老年脑卒中患者功能性电刺激联合运动训练治疗对其神经功能康复及神经元特异性烯醇化酶(NSE)的影响。方法 纳入2020年1月至2022年6月郑州人民医院收治的98例老年脑卒中患者作为研究对象,应用随机数字表法分为对照组和观察组,每组49例。对照组给予运动训练进行治疗,观察组在对照组基础上给予功能性电刺激进行治疗,比较两组患者治疗前后神经功能、血清标志物[NSE、髓鞘碱性蛋白(MBP)、脑型肌酸激酶同工酶(CK-BB)]、运动功能和日常活动能力。结果 治疗后,观察组神经功能状况评估量表(EDSS)的8个分量表评分、NSE、MBP、CK-BB指标水平均低于对照组(P<0。05);观察组观察组卒中患者运动功能评估量表(MAS)评分及功能独立性评定(FIM)量表的两个分量表和总分均高于对照组(P<0。05)。结论 功能性电刺激联合运动训练治疗老年脑卒中可促进其神经功能康复进程,改善其NSE、MBP、CK-BB等神经损伤相关血清标志物的水平,进而有效的促进其运动功能和日常活动能力的恢复。
Effect of functional electrical stimulation combined with exercise training on nerve function rehabilitation and neuron-specific enolase in senile patients after stroke
Objective To analyze the effects of functional electrical stimulation combined with exercise training on neu-rological rehabilitation and neuron-specific enolase(NSE)in senile stroke patients.Methods Ninety-eight senile stroke patients admitted to our hospital from January 2020 to June 2022 were included as research objects,and were di-vided into control group and observation group by random number table method,with 49 cases in each group.The con-trol group was treated with exercise training,and the observation group was treated with functional electrical stimulation on the basis of the control group.Neurological function,serum markers[NSE,myelin basic protein(MBP),cerebral creatine kinase isoenzyme(CK-BB)],motor function and daily activity ability of the two groups were compared before and after treatment.Results After treatment,8 subscale scores,NSE,MBP and CK-BB indexes of EDSS in observa-tion group were lower than those in control group(P<0.05).The scores of MAS and the two subscales and total scores of FIM were higher in the observation group than in the control group(P<0.05).Conclusion Functional electrical stimulation combined with exercise training in the treatment of senility stroke can promote the rehabilitation process of functional function,improve the levels of NSE,MBP,CK-BB and other serum markers related to nerve damage,and then effectively promote the recovery of motor function and daily activity.

Functional electrical stimulationSports trainingCombination therapyOld ageCerebral apoplexyreha-bilitation

冯学伟、郭延芳、张续恒、钟红丽、王江波、杨宁

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河南中医药大学第五附属医院,郑州人民医院康复医学科,郑州 450000

功能性电刺激 运动训练 联合治疗 老年 脑卒中 康复

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(5)
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