标题：超声脉冲电导治疗脑梗死肢体功能障碍疗效观察

      作者：刘海花，祁瑞刚    (苏州大学附属高邮医院神经内科，江苏 高邮 225600)

      卷次： 2018年29卷18期

      【摘要】 目的 观察超声脉冲电导治疗对不同年龄急性脑梗死患者肢体功能障碍的临床疗效。方法 选择2016年12月至2017年12月苏州大学附属高邮医院神经内科收治的90例伴有肢体功能障碍的急性脑梗死患者，按不同年龄段分为三组，A组45~59岁，共31例，B组60~74岁，共29例，C组75~89岁，共30例。三组患者均在常规治疗基础上于发病后72 h进行超声脉冲电导治疗2周，于第4周随访，采用美国国立研究院卒中量表(NIHSS)评价肢体的神经功能障碍程度，改良Barthel指数(MBI)评定日常生活能力(ADL)。结果 三组患者治疗后的NIHSS评分均低于治疗前，治疗后的MBI评分均高于治疗前，差异均有统计学意义(P<0.05)；治疗后NIHSS评分A组较B组和C组明显降低，MBI评分A组较B组和C组明显增高，差异均有统计学意义(P<0.05)。结论 超声脉冲电导治疗年龄低的急性脑梗死伴有肢体功能障碍患者效果更明显。
      【关键词】 超声脉冲电导治疗；不同年龄；急性脑梗死；肢体功能障碍；疗效
      【中图分类号】 R743.33 【文献标识码】 A 【文章编号】 1003—6350（2018）18—2606—03

Observation on the therapeutic effect of ultrasonic pulse conductivity on limb dysfunction in patients withcerebral infarction.
LIU Hai-hua, QI Rui-gang. Department of Neurology, Gaoyou People's hospital Affiliated to SoochowUniversity, Gaoyou 225600, Jiangsu, CHINA
【Abstract】 Objective To observe the clinical effect of ultrasonic pulse conductivity therapy on limb dysfunc-tion in patients with acute cerebral infarction at different ages. Methods A total of 90 patients with acute cerebral in-farction with limb dysfunction admitted to the Department of Neurology in the Gaoyou People's Hospital Affiliated toSoochow University from December 2016 to December 2017 were divided into three groups according to different agegroups: group A (45-59 years old, n=31), group B (60-74 years old, n=29) and group C (75-89 years old, n=30). On thebasis of routine treatment, three groups of patients were treated with ultrasonic pulse conductivity for 2 weeks at 72hours after onset, and were followed up for 4 weeks. The NIH Stroke Scale (NIHSS) was used to assess the degree ofneurological dysfunction in the limbs, and the Modified Barthel Index (MBI) was used to assess the Activities of DailyLiving (ADL). Results The NIHSS scores of the three groups after treatment were lower than those before treatment,and the MBI scores after treatment were higher than those before treatment; the differences were statistically significant(P<0.05). After treatment, the score of NIHSS in group A was significantly lower than that in group B and group C, andthe score of MBI in group A was significantly higher than that in group B and group C (P<0.05). Conclusion Ultrason-ic pulse conductivity is more effective in treating patients with acute cerebral infarction and limb dysfunction in low ages.
      【Key words】 Ultrasonic pulse electroconductivity treatment; Different ages; Acute cerebral infarction; Limb dys-function; Efficacy·短篇论著·doi:10.3969/j.issn.1003-6350.2018.18.028基金项目：苏州大学附属高邮医院院级课题(编号：2016d3)