自我意念法联合功能训练对脑卒中偏瘫患者的肢体功能康复的影响  

Self Psychological Suggestion Combined with Rehabilitation Training in Improving Limb Function of Patients with Stroke Hemiplegia

作　　者：聂春艳 李天竹 孙筱荻 郭晓霞[3] 

机构地区：[1]哈尔滨医科大学附属第四医院老年一病房,黑龙江哈尔滨150000 [2]哈尔滨医科大学附属第四医院普外五病房 [3]哈尔滨医科大学附属第四医院护理部

出　　处：《中国健康心理学杂志》2018年第2期213-216,共4页China Journal of Health Psychology

基　　金：黑龙江省卫生厅基金项目(编号:2016-129)

摘　　要：目的：观察自我意念法联合功能训练对脑卒中偏瘫患者的肢体功能康复护理的疗效及对患者血清中神经肽Y（NPY）和白细胞介素（IL）-10水平的影响。方法：将87例脑卒中偏瘫患者按照随机数字表法分为对照组（n=43）和观察组（n=44）。对照组给予常规干预及综合性康复治疗。观察在对照组基础上给予自我意念法。两组疗程均8周。分别于干预前后比较两组患者傅格梅尔氏（Fugl-Meyer）评分（FMMS）、步行能力评分、神经功能缺损程度评分（Chinese stroke scale,CSS）及血清中NPY和IL-10水平。结果：治疗后,观察组上肢FMMS评分（t=-5.18）和下肢FMMS评分（t=-4.98）均显著高于对照组,步行能力评分（t=14.84）明显低于对照组（P〈0.01）,治疗后6周（t=8.00）和12周（t=14.03）显著低于对照组CSS评分（P〈0.01）。观察组患者的总有效率为93.18%,显著高于对照组的74.42%（χ~2=5.670,P〈0.05）。治疗后观察组血清中NPY（t=6.71）和IL-10（t=7.66）水平显著低于对照组（P〈0.01）。结论：自我意念法联合功能训练对脑卒中偏瘫患者的肢体功能起到显著改善作用,可能与其下调血清中NPY和IL-10水平有关。Objective：To explore efficacy of self psychological suggestion combined with rehabilitation training in improving limb function in stroke patients with hemiplegia and observe their influence on serum levels of Neuropeptide Y（NPY）and interieukin-10（IL-10）.Methods：Eighty-seven stroke patients with hemiplegia were randomly divided into control group（43 cases）and observation group（44 cases）according to the random number table.The patients in control group were treated with routine intervention and comprehensive rehabilitation therapy.The patients in observation group were treated with self psychological suggestion based on control group.Both groups were treated for 8 weeks.Fugl-Meyer score（FMMS）,walking ability score,Chinese stroke scale（CSS）,and serum levels of NPY and IL-10 were compared between both groups before and after intervention.Results：After treatment,the upper limb FMMS score and lower extremity FMMS score were significantly higher than those in the control group（t=-5.18,-4.98;P〈0.01）.The walking ability score was significantly lower than that of the control group（t=14.84,P〈0.01）.The CSS score after 6 weeks and 12 weeks treatment were significantly lower than those in the control group（t=8.00,14.03;P〈0.01）.The total effective rate was 93.18% in the observation group,which was significantly higher than that in the control group（74.42%,χ~2=5.670,P〈0.05）.The levels of NPY（t=6.71）and IL-10（t=7.66）in the serum of the observation group were significantly lower than those in the control group（P〈0.01）.Conclusion：Self psychological suggestion combined with rehabilitation training can significantly improve the limb function of stroke patients with hemiplegia,which may be related to the down-regulation of serum NPY and IL-10 level.

关 键 词：自我意念法 功能训练 脑卒中偏瘫 肢体功能 

分 类 号：R395.5[哲学宗教—心理学]