不同方法治疗急性小脑梗塞后小脑共济失调的疗效分析

目的：比较不同方法治疗急性小脑梗塞后小脑共济失调的疗效。方法：将我院确诊的急性小脑梗塞后小脑共济失调患者80例随机分为以下四组，每组20例。 A组：常规药物治疗组（补充B族维生素、胞二磷胆碱、抗血小板药物和对症支持治疗）；B组：常规药物治疗组＋功能性电刺激；C组：常规药物治疗组＋作业疗法；D组：常规药物治疗组＋功能性电刺激＋作业疗法。结果：B组、C组和D组的疗效明显高于A组（P〈0.05）；D组的疗效最为明显，高于其他三组（P〈0.05）。结论：单独或联合使用功能性电刺激和/或作业疗法治疗急性小脑梗塞后小脑共济失调的疗效明显高于常规药物组，而联合使用功能性电刺激和作业疗法的治疗效果最为明显。

Effects of different treatments on cerebellar ataxia induced by acute cerebellar infarction.Chen

Objective：To compare the efficacy of different treatments, such as routine drug therapy, functional electrical stimulation and occupational therapy ,on cerebellar ataxia induced by acute cerebellar infarction. Methods：Eighty patients with cerebellar ataxia induced by acute cerebellar infarction were divided into 4 different groups with 20 each： group A： routine drug therapy including Vitamin B, cytoplasmic two choline, antiplatelet drugs and supportive treatment;group B：routine drug therapy and functional electrical stimulation;group C： routine drug therapy and occupational therapy; group D： routine drug therapy, functional electrical stimulation and occupational therapy. Results：Effects of group B, C and D were significantly higher than that in group A（P〈0.05）;group C and D were not statistically significant difference;effect of group D was the most obvious, higher than the other three groups （P〈0.05）. Conclusion：Efficacy of single or combined use of functional electrical stimulation and/or occupational therapy in the treatment of acute cerebellar infarction cerebellar ataxia was obviously higher than that of routine drug therapy. And the combined use of functional electrical stimulation and occupational therapy treatment effect is the best.