《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (05): 464-465.

• 临床研究 • 上一篇    下一篇

右正中神经电刺激对重型脑外伤患者康复的影响

封苏平;黎萍;黄强;戴伟民;徐慧敏;姜国英;程慧霞   

  1. 浙江省衢州市人民医院神经外科，浙江衢州市 324000
  • 收稿日期:2008-11-04 出版日期:2009-05-01 发布日期:2009-05-01

Effect of Right Median Nerve Electrical Stimulation on Severe Traumatic Brain Injury

FENG Su-ping, LI Ping, HUANG Qiang, et al   

  1. Department of Neurosurgery, Peolpe's Hospital of Quzhou, Quzhou 324000, Zhejiang, China
  • Received:2008-11-04 Published:2009-05-01 Online:2009-05-01

PDF (PC)

被引次数

14

摘要： 目的 探讨右正中神经电刺激对重型脑外伤患者运动、语言功能及远期生活质量的影响。方法 60例重型脑外伤患者分为对照组和治疗组，每组30例。对照组接受降颅压、营养神经和对症支持治疗及常规康复护理，有手术指征者接受手术治疗；治疗组在此基础上进行右正中神经电刺激治疗。比较两组治疗前及治疗2个月后的格拉斯哥预后评分、运动功能障碍程度评估、语言障碍评估及远期生活质量评估。结果 治疗组治疗2个月后的格拉斯哥预后评分、语言障碍评级、远期生活质量评分的改善优于对照组（P＜0.05），运动功能有改善的趋势，但与对照组比较没有显著性差异。结论 右正中神经电刺激治疗能促进重型脑外伤患者脑神经功能的恢复，改善患者生活质量。

关键词: 脑外伤, 重型, 正中神经, 电刺激, 神经功能, 生活质量

Abstract: Objective To investigate the effect of median nerve electrical stimulation on the activity, speech and quality of life in patients after severe traumatic brain injury. Methods 60 patients with severe traumatic brain injury were divided into 2 groups: the control group (A) and the treated group (B). The patients in Group A were treated with the routine medicine and rehabilitation. Based on the routine therapy, the patients in Group B were treated with the right median nerve electrical stimulation. Their outcome, activity, speech and quality of life were assessed. Results The scores of Glasgow Outcome Scale (GOS), speech assessment, and the quality of life in Group B improved compared with that in Group A (P<0.05), the activity seemed to improve, but not significantly. Conclusion The right median nerve electrical stimulation is effective to promote the recovery of neurological function and improve the quality of life in patients with severe traumatic brain injury.

Key words: traumatic brain injury, severe, median nerve, electrical stimulation, neurological function, quality of life