经外耳皮肤电刺激迷走神经对脑梗死偏瘫患者上肢运动功能恢复的影响_百 ...

Chinese Journal of R ehabilitation Medicine,Nov.2020,Vol.35,No.11

•临床研老•

经外耳皮肤电刺激迷走神经对脑梗死偏瘫患者

张利萍'余明亮'王三荣'谭波涛'贾朗'贾功伟2

摘要

目的：探讨经外耳皮肤电刺激迷走神经(transcutaneous vagus nerve stimulation,t-VNS)对脑梗死偏瘫患者上肢运动功能的影响

库存信息方法：将确定入组的42例脑梗死患者随机分配至试验组(t-VNS+常规)及对照组(sham-t-VNS+常规)。入组0天进行基线评定，入组后21天进行后的评价评定内容包括上肢Fugl-Meyer评分(Fugl-Meyer assessment,FMA)、Wolf运动功能测试(Wolf motor function test,WMFT).功能独立性评定(functional independence measurement,FIM)C同时过程中及后观察可能出现的副作用：

女子诞下18公斤巨婴

结果：前两组患者的上肢FMA、WMFT、FIM评分均无显著性差异(F〉0.05)。21天后，两组上肢FMA、WMFT.FIM评分均较前提高(P<0.05)，并且试验组指标优于对照组(F<0.05)。过程中及后未出现明显的不良反应。

结论:t-VNS对脑梗死偏瘫患者上肢运动功能恢复的具有促进作用，并且无明显副作用。

关键词脑梗死；偏瘫；上肢运动功能；经外耳皮肤电刺激迷走神经

中图分类号:R681.7,R743,R454」文献标识码：A文章编号：1001-1242(2020)-11-1316-05

Effects of transcutaneous vagus nerve stimulation on the recovery of upper limb motor function in patients with ischemic stroke/ZHANG Liping,YU Mingliang,WANG Sanrong,et al.//Chinese Journal of Rehabilitation Medicine,2020,35(11)：1316—1320

峡江县中文核心期刊要目总览2012Abstract

Objective:To investigate the effects of transcutaneous vagus nerve stimulation(t-VNS)on upper limb motor function in patients with ischemic stroke.

Method:Forty-two patients with cerebral infarction were randomly assigned to the experimental grou

p(t-VNS +conventional treatment)and the control group(sham-t-VNS+conventional treatment)according to the random number table method.The test was conducted.Baseline assessment was performed on the day enrollment, and post-treatment evaluation was performed21days after enrollment.The assessment included the upper limb Fugl-Meyer assessment(FMA),Wolf motor function test(WMFT),and functional independence measurement (FIM).At the same time,adverse effects were quested through out the treatment.

瓜达尔港对中国的意义

Result:There were no significant differences in the upper limb FMA,WMFT,and FIM scores between the two groups before treatment(P>0.05).After21days of treatment,the FMA,WMFT,and FIM scores of the upper limbs were higher than those before treatment(P<0.05),and the experimental group was superior to the control group(P<0.05).No obvious adverse effects occurred during and after treatment.

DO1:10.3969/j.issn.1001-1242.2020.11.007

*基金项目：国家自然科学基金青年科学基金项目(81601967)；重庆市自然科学基金面上项目(cstc2019jcyj—msxmX0026)；重庆市科卫联合医学科研面上项目(2018MSXM043)

1重庆医科大学附属第二医院康复医学科•重庆市,400010；2通讯作者长春工程学院学报

第一作者简介：张利萍，女，硕士研究生，初级师；收稿日期:2019-10-30

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