肌电生物反馈对脑梗死急性期心率变异性的影响

发布时间：2018-04-11 14:22

本文选题：脑梗死 + 急性期　；参考：《基因组学与应用生物学》2016年10期

【摘要】：为观察肌电生物反馈对脑梗死急性期心率变异性的影响。本研究选取脑梗死患者60例,随机分为对照组28例和实验组32例,两组均进行常规卒中康复治疗,实验组加做肌电生物反馈治疗。分别于入院一周内和治疗2周检测动态心电图。选取同年龄段、排除脑梗死等影响自主神经活性疾病的动态心电图检查的患者60例,做为正常组,收集其动态心电图数据。正常组与脑梗组比较,脑梗组SDNN、LF、HF值均明显低于正常组(p0.01),LF/HF比值明显高于正常组(p0.05);脑梗死患者中实验组与对照组比较,治疗前两组SDNN、LF、HF、LF/HF均无显著性差异(p0.05);治疗后对照组中SDNN、LF、HF高于治疗前,但无显著性差异(p0.05),LF/HF低于治疗前,但无显著性差异(p0.05);实验组中SDNN、LF、HF明显高于治疗前(p0.01),LF/HF明显低于治疗前(p0.05)。通过相关分析表明脑梗死患者心率变异指标存在异常。研究结果表明肌电生物反馈可以促进脑梗死急性期患者心率变异指标恢复。
[Abstract]:To observe the effect of myoelectric biofeedback on heart rate variability in acute cerebral infarction.In this study, 60 patients with cerebral infarction were randomly divided into control group (n = 28) and experimental group (n = 32).Ambulatory electrocardiogram (ECG) was detected within one week of admission and 2 weeks after treatment.A total of 60 patients of the same age who excluded the effects of cerebral infarction on the dynamic electrocardiogram examination of autonomic nervous active diseases were selected as the normal group and the data of dynamic electrocardiogram were collected.Compared with the cerebral infarction group, the HF value of SDNNN in the cerebral infarction group was significantly lower than that in the normal group, the ratio of P 0.01 to LF / HF was significantly higher than that in the normal group, and the ratio between the experimental group and the control group was significantly higher than that in the control group, and that in the cerebral infarction group was significantly higher than that in the control group.Correlation analysis showed that there were abnormal indexes of heart rate variability in patients with cerebral infarction.The results showed that EMG biofeedback could promote the recovery of HRV in patients with acute cerebral infarction.
【作者单位】：河北北方学院附属第一医院康复医学科;河北北方学院附属第一医院心功能检查科;
【基金】：河北省科学技术研究与发展指导计划项目(1421130D)资助
【分类号】：R743.3

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