高压氧治疗联合重复外周磁刺激干预脑卒中患者踝运动功能和平衡能力的效果

doi:10.3969/j.issn.1006-9771.2023.08.002

《中国康复理论与实践》 ›› 2023, Vol. 29 ›› Issue (8): 875-881.doi: 10.3969/j.issn.1006-9771.2023.08.002

• 专题运动和平衡功能康复 • 上一篇下一篇

高压氧治疗联合重复外周磁刺激干预脑卒中患者踝运动功能和平衡能力的效果

孙藤方^1a, 任梦婷^1b, 杨琳^1b, 王耀霆^1a, 王红雨^1c(), 闫兴洲²

1.蚌埠医学院，a.研究生院;b.护理学院;c.健康体适能中心，安徽蚌埠市 233000
2.蚌埠医学院第一附属医院康复医学科，安徽蚌埠市 233000

收稿日期:2023-04-10 修回日期:2023-07-12 出版日期:2023-08-25 发布日期:2023-10-09
通讯作者: 王红雨 E-mail:wanghongyu81920@163.com
作者简介:孙藤方(1998-)，女，汉族，山东菏泽市人，硕士研究生，主要研究方向：脑卒中患者的神经康复。
基金资助:
安徽高校人文社会科学研究项目(SK2020ZD32);蚌埠医学院重大科技项目孵化计划项目(2020byfy203sk)

Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients

SUN Tengfang^1a, REN Mengting^1b, YANG Lin^1b, WANG Yaoting^1a, WANG Hongyu^1c(), YAN Xingzhou²

1. a. Graduate School; b. Nursing College; c. Health and Fitness Center, Bengbu Medical College, Bengbu, Anhui 233000, China
2. Rehabilitation Medicine Department of the First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, China

Received:2023-04-10 Revised:2023-07-12 Published:2023-08-25 Online:2023-10-09
Contact: WANG Hongyu E-mail:wanghongyu81920@163.com
Supported by:
Humanities and Social Sciences Research Project in Universities of Anhui Province(SK2020ZD32);Incubation Program for Major Science and Technology Projects of Bengbu Medical College(2020byfy203sk)

摘要/Abstract

摘要：

目的观察高压氧治疗(HBOT)联合重复外周磁刺激(rPMS)对脑卒中患者踝运动功能和平衡能力的效果。
方法 2022年4月至2023年3月，蚌埠医学院第一附属医院脑卒中患者96例，随机分为对照组(n = 32)、rPMS组(n = 32)和联合组(n = 32)。对照组接受常规康复治疗;rPMS组在对照组基础上增加rPMS治疗;联合组在rPMS组基础上增加HBOT，连续2周。治疗前后比较患侧足底负重比例、Berg平衡量表(BBS)评分、患侧踝背屈主动活动度(AROM)、胫骨前肌和腓肠肌最大等长收缩时的积分肌电值(iEMG)。
结果每组均脱落2例，共纳入90例，治疗期间无任何不良事件发生。治疗前，各组患侧足底负重比例、BBS评分、患侧踝背屈AROM、胫骨前肌和腓肠肌iEMG比较均无显著性差异(F < 2.070, P > 0.05)。治疗后，各组所有指标均显著改善(|t| > 27.004, P < 0.001)，联合组显著优于rPMS组和对照组(P < 0.001);除患侧足底负重比例外，其余各项指标rPMS组均显著优于对照组(P < 0.001)。
结论 rPMS可以促进脑卒中患者踝运动功能和平衡能力恢复，与HBOT联合疗效更好。

关键词: 脑卒中, 踝关节, 运动功能, 平衡, 重复外周磁刺激, 高压氧治疗

Abstract:

Objective To observe the effect of hyperbaric oxygen therapy (HBOT) combined with repetitive peripheral magnetic stimulation (rPMS) on ankle motor function and balance of stroke patients.
Methods From April, 2022 to March, 2023, 96 patients in the First Affiliated Hospital of Bengbu Medical College were randomly divided into control group (n = 32), rPMS group (n = 32) and combined group (n = 32). The control group received conventional rehabilitation; rPMS group received rPMS on the basis of the control group; and the combined group received HBOT on the basis of rPMS group, for two weeks. Before and after treatment, the plantar weight-bearing ratio of the affected side, Berg Balance Scale (BBS), active range of motion (AROM) of ankle dorsiflexion of the affected side, and integrated electromyographic (iEMG) values during maximum isometric contraction of the tibialis anterior and gastrocnemius muscles were measured.
Results Two cases dropped out in each group, and 90 cases were finally included, and no adverse events occurred during treatment. Before treatment, there was no significant difference in plantar weight-bearing ratio of the affected side, BBS score, AROM of ankle dorsiflexion of the affected side, and iEMG of tibialis anterior and gastrocnemius among three groups (F < 2.070, P > 0.05). After treatment, all the indicators significantly improved in all the groups (|t| > 27.004, P < 0.001), and they were better in the combined group than in rPMS group and the control group (P < 0.001); except the proportion of plantar weight-bearing on the affected side, the other indicators were better in rPMS group than in the control group (P < 0.001).
Conclusion rPMS can promote the recovery of ankle motor function and balance of stroke patients, and the effect combining with HBOT is better.

Key words: stroke, ankle, motor function, balance, repetitive peripheral magnetic stimulation, hyperbaric oxygen therapy

中图分类号:

R743.3

孙藤方, 任梦婷, 杨琳, 王耀霆, 王红雨, 闫兴洲. 高压氧治疗联合重复外周磁刺激干预脑卒中患者踝运动功能和平衡能力的效果[J]. 《中国康复理论与实践》, 2023, 29(8): 875-881.

SUN Tengfang, REN Mengting, YANG Lin, WANG Yaoting, WANG Hongyu, YAN Xingzhou. Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 875-881.

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(脑出血/脑梗死)/n	患侧(左/右)/n
对照组	30	21/9	61.27±10.56	23.27±15.84	7/23	13/17
rPMS组	30	17/13	57.23±9.32	28.63±16.03	11/19	16/14
联合组	30	21/9	55.90±10.43	29.17±14.40	13/17	7/23
χ²/F值		1.575	2.288	1.340	2.756	5.833
P值		0.455	0.108	0.267	0.252	0.054

组别	n	治疗前	治疗后	t值	P值
对照组	30	27.99±2.368	36.39±2.629	-36.315	< 0.001
rPMS组	30	26.73±3.616	37.27±3.517	-75.118	< 0.001
联合组	30	27.84±3.331	41.28±3.558^a,b	-27.004	< 0.001
F值		1.423	19.143
P值		0.247	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	32.07±1.741	41.30±1.860	-34.766	< 0.001
rPMS组	30	31.63±1.497	43.17±1.206^a	-44.114	< 0.001
联合组	30	31.70±1.765	45.67±1.516^a,b	-49.606	< 0.001
F值		0.584	59.909
P值		0.560	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	1.63±0.890	4.57±0.935	-27.545	< 0.001
rPMS组	30	1.87±0.860	5.57±1.194^a	-28.860	< 0.001
联合组	30	1.90±0.845	7.27±1.230^a,b	-34.570	< 0.001
F值		0.846	43.972
P值		0.433	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	30	27.93±1.131	37.76±1.369	-59.365	< 0.001
rPMS组	30	27.60±0.927	39.49±1.106^a	-125.414	< 0.001
联合组	30	27.39±1.039	42.87±1.352^a,b	-130.943	< 0.001
F值		2.070	123.500
P 值		0.132	< 0.001

高压氧治疗联合重复外周磁刺激干预脑卒中患者踝运动功能和平衡能力的效果

Effect of hyperbaric oxygen therapy combined with repetitive peripheral magnetic stimulation on ankle motor function and balance of stroke patients

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组别	n	治疗前	治疗后	t值	P值
对照组	30	18.86±0.668	28.067±0.200	-59.887	< 0.001
rPMS组	30	18.93±0.825	30.18±1.077^a	-68.743	< 0.001
联合组	30	18.78±0.772	32.92±1.427^a,b	-72.585	< 0.001
F值		0.308	121.362
P值		0.736	< 0.001

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