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外科研究与新技术（中英文）

外科研究与新技术（中英文） ›› 2024, Vol. 13 ›› Issue (3): 201-205.doi: 10.3969/j.issn.2095-378X.2024.03.005

• 论著 • 上一篇    下一篇

右正中神经电刺激联合早期持续功能锻炼对高血压脑出血患者术后康复的治疗效果

梅杰, 冯凯立, 郑博文, 王植坤, 陈振才   

  1. 广东省中山市古镇人民医院神经外科, 广东 中山 528421
  • 收稿日期:2023-09-27 发布日期:2024-10-17
  • 通讯作者: 冯凯立,电子信箱：zsmajor@126.com
  • 作者简介:梅杰（1972—）,男,硕士,副主任医师,从事临床神经外科工作

Effect of right median nerve electrical stimulation combined with early continuous functional exercise on postoperative rehabilitation of hypertensive cerebral hemorrhage patients

MEI Jie, FENG Kaili, ZHENG Bowen, WANG Zhikun, CHEN Zhencai   

  1. Department of Neurosurgery, Zhongshan Guzhen People's Hospital, Zhongshan 528421, Guangdong, China
  • Received:2023-09-27 Published:2024-10-17

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摘要： 目的 分析右正中神经电刺激联合早期持续功能锻炼对高血压脑出血患者术后康复的治疗效果。方法 以2020年1月—2022年12月收治的60例高血压脑出血手术患者为研究对象,并根据康复治疗措施分为对照组（30例,早期持续功能锻炼）和治疗组（30例,右正中神经电刺激联合早期持续功能锻炼）,统计对比两组的治疗效果相关指标。结果 对照组患者美国国立卫生研究院卒中量表（NIHSS）评分、大脑前/中/后动脉阻力指数（RI）均显著高于治疗组（P<0.05）,而Fugl-Meyer肢体运动功能评定量表（FMA）评分、Barthel指数评分及大脑前/中/后动脉平均血流速度（Vm）,正中神经、腓总神经的运动神经传导速度（MNCV）、感觉神经传导速度（SNCV）均显著低于治疗组（P<0.05）。结论 在高血压脑出血患者术后康复中采取右正中神经电刺激联合早期持续功能锻炼的综合治疗,能快速恢复患者神经功能与日常生活能力,促进其病情转归。

关键词: 高血压脑出血, 右正中神经, 经皮神经电刺激, 早期持续功能锻炼

Abstract: Objective To analyze the therapeutic effect of right median nerve electrical stimulation combined with early continuous functional exercise on postoperative rehabilitation of hypertensive cerebral hemorrhage patients. Methods Sixty surgical patients with hypertensive cerebral hemorrhage admitted from January 2020 to December 2022 were selected as study subjects, and divided into a control group （30 cases, early continuous functional exercise） and a treatment group （30 cases, right median nerve electrical stimulation combined with early continuous functional exercise）. The therapeutic effects of the two groups were statistically compared. Results After treatment, the National Institutes of Health stroke scale （NIHSS） score and resistive indexes （RI） of anterior/ middle/ posterior cerebral artery in the control group were significantly higher than those in the treatment group （P<0.05）, while the Fugl-Meyer assessment （FMA） score, Barthel index, mean velocity of blood flow （Vm） at anterior/ middle/ posterior cerebral artery, and motor nerve conduction velocity （MNCV） and sensory nerve conduction velocity （SNCV） of median nerve and common peroneal nerve in the control group were significantly lower than those in the treatment group （P<0.05）. Conclusion In the postoperative rehabilitation of hypertensive cerebral hemorrhage patients, the combination of right median nerve electrical stimulation and early continuous functional exercise can quickly restore the nerve function and daily living ability of patients, and promote the prognosis.

Key words: Hypertensive cerebral hemorrhage, Right median nerve, Percutaneous electrical nerve stimulation, Early continuous functional exercise

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