康复训练联合健康教育对脑梗死患者神经功能和肢体运动功能的影响
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摘要
目的探讨早期康复训练联合健康教育对脑梗死患者神经功能、肢体运动功能的影响效果。方法选取2015年12月至2017年5月我科收治的脑梗死偏瘫患者92例作为研究对象,随机等分为对照组和观察组,对照组给予常规治疗和健康教育,观察组给予早期康复训练。比较两组患者治疗后的临床效果。结果观察组总有效率高于对照组,差异有统计学意义(P <0. 05)。干预前两组患者脑循环动力学指标、NIHSS,FMA评分比较,差异无统计学意义(P> 0. 05);干预后观察组患者脑循环动力学指标Vmin,Qmin水平和FMA评分高于对照组,CP,R水平和NIHSS评分低于对照组(P <0. 05)。结论脑梗死患者采用早期康复训练联合健康教育可改善脑部血液动力学指标、神经功能和下肢肌张力,提高肢体运动功能。
Objective To explore the effect of early rehabilitation training combined with health education on neurological function and limb motor function in patients with cerebral infarction. Methods To select 92 cases of patients with hemiplegia due to cerebral infarction who were admitted to our department from December 2015 to May 2017 as study subjects,and they were divided into control group and observation group randomly. The control group was given routine treatment and health education,while the observation group was given early rehabilitation training. The clinical effects of patients after treatment in the two groups were compared. Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant( P < 0. 05). There was no statistically significant difference in brain hemodynamics index,NIHSS and FMA scores between two groups( P > 0. 05). After intervention,Vmin level and Qmin level of the cerebral circulation dynamics indicators and FMA scores in the observation group were higher than that of the control group. The CP and R levels as well as the NIHSS score of patient in the observation group were lower than that of the control group( P < 0. 05). Conclusion Early rehabilitation training combined with health education in patients with cerebral infarction can improve brain hemodynamics index,neurological function and lower limb muscle tone,thus improving limb motor function.
Objective To explore the effect of early rehabilitation training combined with health education on neurological function and limb motor function in patients with cerebral infarction. Methods To select 92 cases of patients with hemiplegia due to cerebral infarction who were admitted to our department from December 2015 to May 2017 as study subjects,and they were divided into control group and observation group randomly. The control group was given routine treatment and health education,while the observation group was given early rehabilitation training. The clinical effects of patients after treatment in the two groups were compared. Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant( P < 0. 05). There was no statistically significant difference in brain hemodynamics index,NIHSS and FMA scores between two groups( P > 0. 05). After intervention,Vmin level and Qmin level of the cerebral circulation dynamics indicators and FMA scores in the observation group were higher than that of the control group. The CP and R levels as well as the NIHSS score of patient in the observation group were lower than that of the control group( P < 0. 05). Conclusion Early rehabilitation training combined with health education in patients with cerebral infarction can improve brain hemodynamics index,neurological function and lower limb muscle tone,thus improving limb motor function.
引文
[1]夏楠,任彩丽,王红星,等.脑梗死急性期康复训练流程对患者运动功能和日常生活活动能力改善程度的影响[J].中国康复医学杂志,2017,32(4):396-401.
[2]吴淑苗.循证护理模式在脑梗死患者偏瘫肢体康复训练护理中的应用分析[J].实用临床医药杂志,2016,20(4):18-20,24.
[3]王飞,张丽娟,史艳,等.丰富家庭康复环境对恢复期脑梗死患者运动功能及日常生活能力的影响[J].中华物理医学与康复杂志,2016,38(1):47-48.
[4]闻万顺,叶祥明,李厥宝,等.早期综合康复训练对脑梗死患者的康复效果及NHISS评分的影响[J].中国现代医生,2017,55(9):111-113,117.
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[6] Mulkey SB,Debiasi RL,Du AP. Cerebral infarction due to Zika virus[J]. Journal Neurological Sciences,2018,102(387):109-110.
[7]张军伟,杨颖,郝正玮,等.下肢康复训练机器人对脑梗死偏瘫患者肌力肌张力与P300的影响[J].中国老年学杂志,2016,36(7):1693-1695.
[8]章荣,李威,任凯,等.综合性康复训练对脑梗死患者同型半胱氨酸水平的影响[J].中国康复医学杂志,2018,33(2):181-186.
[9]张晓强.脑梗死后患者不同康复训练方案优选及疗效[J].中国老年学杂志,2017,37(6):1386-1387.
[10]陈瑞芳,罗勇,汶海琪,等.早期康复训练对脑梗死偏瘫患者外周血内皮祖细胞和基质细胞衍生因子1α含量及运动功能恢复的影响[J].中华物理医学与康复杂志,2016,38(2):81-85.
[11]姜迎萍,王波,周益凡,等.头针结合康复训练治疗脑梗死恢复期患者的疗效研究[J].中国康复医学杂志,2017,32(3):288-292.
[12] Anufriev PL,Evdokimenko AN,Gulevskaya TS. Cerebral infarctions in vertebrobasilar artery atherosclerosis[J]. Arkhiv Patologii,2018,80(1):3-7.
[13]宋述环. Rehacom软件辅助康复训练对脑梗死患者早期认知障碍的疗效观察[J].神经损伤与功能重建,2016,11(6):562-564.
[2]吴淑苗.循证护理模式在脑梗死患者偏瘫肢体康复训练护理中的应用分析[J].实用临床医药杂志,2016,20(4):18-20,24.
[3]王飞,张丽娟,史艳,等.丰富家庭康复环境对恢复期脑梗死患者运动功能及日常生活能力的影响[J].中华物理医学与康复杂志,2016,38(1):47-48.
[4]闻万顺,叶祥明,李厥宝,等.早期综合康复训练对脑梗死患者的康复效果及NHISS评分的影响[J].中国现代医生,2017,55(9):111-113,117.
[5]王灵敏.脑梗死运动性失语患者的语言康复训练探讨[J].中国实用神经疾病杂志,2016,19(24):98-99.
[6] Mulkey SB,Debiasi RL,Du AP. Cerebral infarction due to Zika virus[J]. Journal Neurological Sciences,2018,102(387):109-110.
[7]张军伟,杨颖,郝正玮,等.下肢康复训练机器人对脑梗死偏瘫患者肌力肌张力与P300的影响[J].中国老年学杂志,2016,36(7):1693-1695.
[8]章荣,李威,任凯,等.综合性康复训练对脑梗死患者同型半胱氨酸水平的影响[J].中国康复医学杂志,2018,33(2):181-186.
[9]张晓强.脑梗死后患者不同康复训练方案优选及疗效[J].中国老年学杂志,2017,37(6):1386-1387.
[10]陈瑞芳,罗勇,汶海琪,等.早期康复训练对脑梗死偏瘫患者外周血内皮祖细胞和基质细胞衍生因子1α含量及运动功能恢复的影响[J].中华物理医学与康复杂志,2016,38(2):81-85.
[11]姜迎萍,王波,周益凡,等.头针结合康复训练治疗脑梗死恢复期患者的疗效研究[J].中国康复医学杂志,2017,32(3):288-292.
[12] Anufriev PL,Evdokimenko AN,Gulevskaya TS. Cerebral infarctions in vertebrobasilar artery atherosclerosis[J]. Arkhiv Patologii,2018,80(1):3-7.
[13]宋述环. Rehacom软件辅助康复训练对脑梗死患者早期认知障碍的疗效观察[J].神经损伤与功能重建,2016,11(6):562-564.