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王相明,侯 莹,李 文.低频电刺激治疗卒中后面瘫的疗效观察[J].中国康复医学杂志,2009,24(3):233~235
低频电刺激治疗卒中后面瘫的疗效观察    点此下载全文
王相明  侯 莹  李 文
苏州大学附属第二医院神经内科,苏州,215004
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DOI:
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摘要:
      目的:观察低频电刺激对卒中后面瘫(FPS)的临床疗效,探索卒中后面瘫的治疗方法。方法:将临床确诊的56例FPS患者随机分为电刺激治疗组(治疗组,36例)和常规对照组(对照组,20例)。2组均给予常规内科治疗,治疗组同时给予低频电刺激治疗。比较2组治疗前、治疗后10d、治疗后1个月面神经功能评分(modified House-Brackmann,MHBN),同时对2组治疗后的临床症状改善率及治疗后3个月的疗效进行比较。 结果:2组治疗前MHBN评分差异无显著性意义(P>0.05),治疗后10d、治疗后1个月MHBN评分差异有显著性意义(P<0.05)。经1个疗程治疗后,治疗组患者有效率达80.5%,高于对照组(P<0.05),治疗结束后3个月随访,2组疗效差异有显著性意义(P<0.05)。结论:低频电刺激治疗急性期FPS能明显提高疗效,为FPS患者提供了一种新的治疗方法。
关键词:低频电刺激  卒中  面瘫
A clinical study of low frequency electric-stimulation on patients with facial palsy after stroke    Download Fulltext
Department of Neurology,The Second Affiliated Hospital,Soochow University,Suzhou,215004
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Abstract:
      Objective:To observe the effects of low frequency electric-stimulation on clinical manifestation in patients with facial palsy after stroke(FPS). Method:Fifty-six cases of FPS patients were randomly divided into two groups:treatment group(n=36) and control group(n=20).Both groups received routine internal medicine treatment;in addition, treatment group was treated with low frequency electric-stimulation simultaneously. Facial nerve modified House-Brackmann score(MHBN) and improvement rate of clinical symptoms were observed at 10d and 1 month, 3 months after treatment. Result: At 10d and 1 month after treatment there were statistical differences in MHBN scores in two groups(P<0.05). The effective rates were 80.5% and 55% in treatment group and control group respectively(P<0.05).In 3 month follow up after treatment, there was statistical difference in recovery rates of two groups(P<0.05). Conclusion: Low frequency electric-stimulation could effectively improve effects of patients with FPS as a new treatment method for FPS.
Keywords:low frequency electric stimulation  stroke  facial palsy
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