作者：蒋红,隋如,李文浩

单位：

234000 安徽省宿州市第一人民医院全科医学科 通信作者：蒋红，E-mail：jianghong2203@163.com

Units：

General Medicine Department, Suzhou First People's Hospital, Suzhou 234000, China Corresponding author: JIANG Hong, E-mail: jianghong2203@163.com

关键词：

脑梗死; 磁疗法; 中频治疗; 神经功能; 生存质量; 心理状态;

Keywords：

Brain infarction; Magnetotherapy; Intermediate frequency therapy; Neurological function; Quality of life;Psychological state

CLC：

DOI：

10.12114/j.issn.1008-5971.2021.00.236

Funds：

摘要：

背景随着人们对生存质量的要求不断提高,越来越多的研究开始关注脑梗死患者术后康复治疗的效果。其中磁疗及中频治疗作为近年理疗的重要内容,在各自领域发挥着不同的作用。目的 分析磁疗联合中频治疗对急性脑梗死患者神经功能、生存质量及心理状态的影响。方法 选取2019年4月至2020年4月宿州市第一人民医院收治的67例急性脑梗死患者,按照随机数字表法将其分为观察组(33例)和对照组(34例)。对照组患者进行中频治疗,观察组患者在对照组的基础上联合磁疗。记录两组患者基本资料,分别于治疗前及治疗后1、3个月采用美国国立卫生研究院卒中量表(NIHSS)评分评估两组患者神经功能,采用世界卫生组织生存质量测定量表(WHOQOL-100)评分评估两组患者生存质量,采用90项症状清单(SCL-90)评分评估两组患者心理状态。结果 治疗方法与时间在NIHSS评分上存在交互作用(P <0.05);治疗方法、时间在NIHSS评分上主效应显著(P <0.05)。观察组患者治疗后1、3个月NIHSS评分低于对照组(P <0.05)。对照组、观察组患者治疗后1、3个月NIHSS评分分别低于本组治疗前(P <0.05)。治疗方法与时间在WHOQOL-100评分上存在交互作用(P <0.05);治疗方法、时间在WHOQOL-100评分上主效应显著(P <0.05)。观察组患者治疗后1、3个月WHOQOL-100评分高于对照组(P <0.05)。对照组、观察组患者治疗后1、3个月WHOQOL-100评分分别高于本组治疗前(P <0.05)。治疗方法与时间在SCL-90评分上存在交互作用(P <0.05);治疗方法、时间在SCL-90评分上主效应显著(P <0.05)。观察组患者治疗后1、3个月SCL-90评分低于对照组(P <0.05)。对照组、观察组患者治疗后1、3个月SCL-90评分分别低于本组治疗前(P <0.05)。结论 磁疗联合中频治疗能有效改善急性脑梗死患者神经功能,提高其生存质量,并改善其心理状态,值得临床推广。

Abstract：

【Abstract】 Background With the increase of people's requirements for quality of life, more and more studiesfocus on the role of rehabilitation treatment for patients with cerebral infarction. As an important part of physiotherapy in recentyears, magnetic therapy and intermediate frequency therapy play different roles in their respective fields. Objective Toanalyze the effect of magnetic therapy combined with intermediate frequency therapy on neurological function, quality of life andpsychological state in patients with acute cerebral infarction. Methods A total of 67 patients with acute cerebral infarctiontreated in Suzhou First People's Hospital from April 2019 to April 2020 were selected and randomly divided into observationgroup (33 cases) and control group (34 cases). The patients in the control group were treated with intermediate frequency therapy,and the patients in the observation group were treated with magnetic therapy on the basis of the control group. The basic data ofthe two groups were recorded. Before treatment and at 1 and 3 months after treatment, the neurological function of the two groupswere evaluated by the National Institute of Health Stroke Scale (NIHSS) score, the quality of life of the two groups were evaluatedby the World Health Organization Quality of Life Scale (WHOQOL-100) score, and Symptom Checklist-90 (SCL-90) score wasused to evaluate the psychological state of the two groups. Results There was an interaction between treatment method andtime on NIHSS score (P < 0.05) ; the main effect of treatment method and time on NIHSS score was significant (P <0.05) . TheNIHSS score of the observation group was lower than that of the control group at 1 and 3 months after treatment (P < 0.05) . In thecontrol group and the observation group, the NIHSS score at 1 and 3 months after treatment was lower than that before treatment,respectively (P < 0.05) . There was an interaction between treatment method and time on WHOQOL-100 score (P < 0.05) ; themain effect of treatment method and time on WHOQOL-100 score was significant (P < 0.05) . The WHOQOL-100 score of theobservation group was higher than that of the control group at 1 and 3 months after treatment (P < 0.05) . In the control group andthe observation group, WHOQOL-100 score at 1 and 3 months after treatment was higher than that before treatment, respectively(P < 0.05) . There was an interaction between treatment method and time on SCL-90 score (P < 0.05) ; the main effect oftreatment method and time on SCL-90 score was significant (P < 0.05) . The SCL-90 score of the observation group was lowerthan that of the control group at 1 and 3 months after treatment (P < 0.05) . In the control group and the observation group, theSCL-90 score was lower than that before treatment, respectively (P < 0.05) .Conclusion Magnetic therapy combined withintermediate frequency therapy can effectively improve the neurological function, quality of life and psychological state of patientswith acute cerebral infarction, which is worthy of clinical promotion.

ReferenceList：