论文部分内容阅读
目的探讨正中神经体感诱发电位(SEP)对急性期中年脑卒中患者上肢功能康复潜能预测作用。方法在患者入院时采用神经功能缺损评分(NIHSS)、简易运动评分(FMA)和改良Barthel指数(MBI)评分对40例中年脑卒中患者进行问卷调查,同时按照患者病情在急性期、稳定期行正中神经SEP检测,2个月后再次评估以上量表,对正中神经SEP N20的振幅、潜伏期与急性期、稳定期及2个月后的各项量表做相关分析。结果患者健侧正中神经SEP N20潜伏期、波幅正常,而患侧正中神经SEP N20潜伏期延长,波幅较健侧降低或波形异常(P<0.05)。患侧正中神经SEP N20消失的患者患侧上肢FMA评分和MBI低于N20可引出者(P<0.05)。40例患者2个月后患侧上肢FMA评分和MBI为:2个月>急性期存在组>稳定期(P<0.05)。结论急性期和稳定期中年脑卒中患者患侧正中神经SEP N20消失者上肢运动功能和自理能力较差,应尽早联合实施康复功能锻炼及治疗,提高患者自理能力。
Objective To investigate the effect of median nerve somatosensory evoked potential (SEP) on the prediction of upper limb functional rehabilitation potential in acute middle-aged stroke patients. Methods Nervous impairment scale (NIHSS), simple motor score (FMA) and modified Barthel index (MBI) score were used to investigate 40 middle-aged stroke patients at the time of admission. At the same time, according to the patient’s condition in acute stage, stable stage The median nerve SEP test was performed. Two months later, the above scale was re-evaluated to correlate the amplitude, latency, acute phase, stable phase and magnitude of 2 months after the median nerve SEP N20. Results The latency and amplitude of SEP N20 in normal contralateral median nerve were normal while the latency of SEP N20 in median nerve of affected side was longer than that in contralateral side (P <0.05). Patients with ipsilateral median nerve SEP N20 disappeared in the affected side of the upper limb FMA score and MBI lower than the N20 can be extracted (P <0.05). The FMA score and MBI of the affected upper limbs after 2 months in 40 patients were as follows: 2 months> existent group> stable stage (P <0.05). Conclusions Acute and stable middle-aged stroke patients with ipsilateral median nerve SEP N20 disappeared had lower motor function and self-care ability. Combined exercise rehabilitation and treatment should be carried out as early as possible so as to improve self-care ability of patients.