神经功能重建治疗对脑卒中患者肢体运动功能影响的研究  

Analysis on the effects of nerve function reconstruction treatment for limb motor function of patients with stroke

作　　者：赵光标 林洁玲[1] 植梧倍 

机构地区：[1]广东省信宜市人民医院康复科,广东信宜525300

出　　处：《中国医药科学》2016年第2期156-158,共3页China Medicine And Pharmacy

摘　　要：目的探讨神经功能重建治疗脑卒中患者的疗效及对肢体运动功能的影响。方法选取2014年1月~2015年4月我院收治的60例脑卒中患者作为研究对象,随机将所选患者均分为研究组和对照组,对照组采用常规药物及康复治疗,研究组在对照组的基础上采用神经功能重建仪康复治疗,使用FMA运动功能评定量表评定肢体运动功能,Barthel指数评定日常生活活动能力（ADL）,综合比较两组患者治疗总有效率、神经功能缺损程度评分、FMA评分及Barthel指数改善情况的差异。结果研究组患者治疗总有效率为96.7%,明显高于对照组的73.3%（P〈0.05）;两组患者治疗前神经功能缺损程度、FMA评分及Barthel指数比较差异均无统计学意义（P〉0.05）,治疗后1个月,研究组患者神经功能缺损程度评分、FMA评分及Barthel指数分别为（5.27±2.28）分、（54.75±6.26）分、（73.26±9.67）分,均显著优于对照组（P〈0.05）。结论神经功能重建治疗脑卒中患者效果确切,操作简便,可明显提高患者的肢体运动功能,改善自理能力和生活质量,优于常规治疗措施,值得临床推广使用。Objective To investigate the effects of nerve function reconstruction treatment for patients with stroke and the influence on limb motor function. Methods 60 cases of patients with stroke in our hospital were randomly divided into research group and control group,each were 30 cases.The control group were treated with conventional drugs and rehabilitation treatment. The research group were treated with nerve function reconstruction based on the conventional treatment. The FMA was used to assess motor function. Barthel index was used to evaluate activities of daily living （ADL）.The total effective rate, neurological deficit scores, FMA score and Barthel index of two groups were compared. Results The total effective rate of research group was 96.7%,which was higher than 73.3% of control group （P 〈 0.05）.The neurological deficit scores, FMA score and Barthel index of two groups before treatment had no statistically significant difference （P 〉 0.05）.1 month after treatment, neurological deficit scores, FMA score and Barthel index of research group were respectively （5.27 ± 2.28） scores,（54.75 ± 6.26） scores and （73.26 ± 9.67） scores, which were better than control group （P 〈 0.05）. Conclusion Nerve function reconstruction treatment for patients with stroke is effective. It can effectively improve the motor function, self-care ability and quality of life. It＇ s better than conventional measures. It＇s worthy of clinical widely used.

关 键 词：神经功能重建 脑卒中 肢体运动功能 临床效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]