有氧运动康复结合患者自我管理对脑卒中偏瘫患者预后的影响  

Effect of aerobic exercise rehabilitation combined with patient self-management on prognosis of stroke patients with hemiplegia

作　　者：庄磊[1] ZHUANG Lei(Department of Neurology of Renji Hospital affiliated to Medicine School of Shanghai Jiao Tong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院神经内科,上海200127

出　　处：《上海医药》2018年第22期49-52,共4页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :观察有氧运动康复训练结合患者自我管理的干预方案对脑卒中偏瘫患者预后的影响。方法 :共纳入68例受试者,随机分为干预组和对照组,干预组34例,平均年龄(63.1±11.6)岁,其中男性17例,女性17例;对照组34例,平均年龄(62.5±10.9)岁,其中男性18例,女性16例,两组年龄和性别分布差异无统计学意义(P> 0.05)。干预组实施8周有氧训练加自我管理的康复训练,对照组实施常规康复护理。在基线(w0)、8周末(w8)及24周末(w24)分别评估两组受试者的Fugl-Meyer运动功能评估表(FMA)、6分钟步行距离(6MWD)、医院焦虑抑郁量表(HADS)、Barthel指数(BI)、及主观总体健康状况(EQ-5DVAS)。结果 :干预组w8的FMA、6MWD及BI改善均优于对照组(P <0.05)。干预组w8的FMA、6MWD、BI及EQ-5DVAS改善均优于w0(P <0.05),而对照组仅在FMA和6MWD两项改善优于较w0(P <0.05)。两组在w24的各项评估均较w0有明显改善,但干预组优于对照组(P <0.05)。结论 :有氧训练结合患者自我管理对脑卒中偏瘫患者的预后优于常规康复护理。Objectives： To observe the effect of aerobic exercise rehabilitation training combined with patient selfmanagementintervention program on the prognosis of stroke patients with hemiplegiato. Methods： A total of 68 subjects wereenrolled and randomly divided into an intervention group and a control groupThere were 34 patients in the intervention group,with an average age of （63.1±11.6） years, including 17 males and 17 females; there were 34 patients in the control group, withan average age of （62.5±10.9） years, including 18 males and 16 females, and there was no significant difference in age andgender distribution between the two groups（P〉0.05）. The intervention group implemented 8 weeks of aerobic training plus selfadministeredrehabilitation training, and the control group received routine rehabilitation nursing. Fugl-Meyer motor functionassessment（FMA）, 6-minute walking distance（6MWD）, hospital anxiety and depression scale（HADS）, Barthel index（BI）, andsubjective general health status（EQ-5DVAS） were assessed at baseline（w0）, 8-week（w8） and 24-week（w24）. Results： At w8,the improvement of FMA, 6MWD and BI in the intervention group was better than that in the control group（P〈0.05）. Theimprovement of FMA, 6MWD, BI and EQ-5DVAS at w8 in the intervention group was better than that at w0（P〈0.05）, however,in the control group, only two items of FMA and 6MWD were improved better than those at w0（P〈0.05）. All the evaluations atw24 in both groups were significantly improved compared with those at w0, but the intervention group was superior to the controlgroup（P〈0.05）. Conclusion： The prognostic effect of aerobic training combined with patient self-management on stroke patientswith hemiplegia is better than that of routine rehabilitation nursing.

关 键 词：脑卒中 偏瘫 有氧运动 自我管理 预后 

分 类 号：R743.3[医药卫生—神经病学与精神病学]