徐盼盼 洪永锋

摘要：目的：探究颈部超短波对脑梗死恢复期患者运动及平衡功能的影响。方法选择安徽医科大学第二附属医院康复医学科于2020年1月到2021年3月收住的60例脑梗死恢复期患者，按照随机数表，将其分为观察组（颈部超短波+其他康复治疗）32例和对照组（其他康复治疗）28例，观察组做颈部超短波+其他康复治疗，对照组仅做其他康复治疗。分别于治疗前及治疗后第4周、第8周用Fugl-Meyer评测法和Berg平衡量表评估患者的运动及平衡功能。结果 在治疗前观察组和对照组的Fugl-Meyer评分和Berg评分无统计学差异（P>0.05），在治疗后第4周和第8周，观察组的Fugl-Meyer评分和Berg评分显著高于对照组，差异具有统计学意义（P<0.05）。结论 对于无超短波治疗禁忌症的脑梗死患者，采用超短波治疗疗效确切，有助于患者运动及平衡能力的恢复，提高患者的生活质量，值得临床推广。

关键词：超短波;脑梗死;运动功能;平衡功能

Abstract： Objective To explore the effect of cervical ultrashort wave on the movement and balance function of patients with cerebral infarction in convalescent period.Method Selection of anhui medical university second affiliated hospital of rehabilitation medicine in January 2020 to March 2021 were admitted in 60 patients with cerebral infarction convalescence， according to the stochastic indicator， it can be divided into observation group （neck ultrashort wave plus other rehabilitation therapy） and the control group， 32 cases were 28 cases （other rehabilitation therapy）， do neck ultrashort wave plus other rehabilitation treatment group， The control group only received other rehabilitation treatment.Fugl-Meyer and Berg Balance Scale were used to evaluate the movement and balance function of the patients before and 4 and 8 weeks after treatment， respectively. Results Before treatment， there was no significant difference in Fugl-Meyer score and Berg score between the observation group and the control group （P>0.05）， the Fugl-Meyer score and Berg score in the observation group were significantly higher than those in the control group at the 4th and 8th week after treatment， and the difference was statistically significant （P<0.05）.Conclusion For patients with cerebral infarction without contraindations of ultrashort wave treatment， the treatment of ultrashort wave is effective， helpful to the recovery of patients' movement and balance ability， and improve the quality of life of patients， which is worthy of clinical promotion.

Key words： ultrashort wave;Cerebral infarction;Motor function;Balance function

脑梗死具有高发病率、高致残率的特点[1]。脑梗死后遗留多种功能障碍，最常见的就是运动功能障碍，严重影响患者的生活质量，给患者及家庭带来沉重的经济及心理负担[2，3]。因此在脑梗死患者的康复治疗过程中，应高度重视其运动功能的恢复。我院对32例脑梗死恢复期患者采用颈部超短波联合其他康复治疗，取得良好效果，现汇报如下。

1 资料与方法

1.1 一般资料

选取于2020年1月到2021年3月间在安徽医科大学第二附属医院康复医学科收治的60例脑梗死恢复期患者。纳入标准：（1）经头颅 CT/MRI 检查确诊为为脑梗死患者。……