不同康复治疗介入时机与脑梗死后偏瘫病人康复效果的相关性研究  

Study of relationship between different intervention time of rehabilitation treatment and rehabilitation effect of hemiplegia patients after cerebral infarction

作　　者：何亚丽[1] 张相成[1] 刘宏[1] HE Yali;ZHANG Xiangcheng;LIU Hong(Pingdingshan First People's Hospital,Pingdingshan 467000,China)

机构地区：[1]平顶山市第一人民医院,河南平顶山467000

出　　处：《中国实用神经疾病杂志》2020年第24期2187-2191,共5页Chinese Journal of Practical Nervous Diseases

基　　金：河南省科技研发专项项目(编号:202102310079)。

摘　　要：目的研究脑梗死后偏瘫病人不同康复治疗介入时机与康复效果的相关性。方法回顾性选取2017-01-2019-12平顶山市第一人民医院脑梗死后偏瘫患者160例的临床资料,随机分为早期介入康复治疗组(基础治疗后2周,n=80)和晚期介入康复治疗组(基础治疗后4周,n=80),统计分析2组治疗前后的神经功能、运动功能、日常生活活动能力、生存质量。结果早期介入康复治疗组治疗后较治疗前NIHSS评分降低幅度、上肢、下肢FMA评分、MBI评分升高幅度均显著高于晚期介入康复治疗组(P<0.05)。早期介入康复治疗组治疗后较治疗前的躯体疼痛、生理职能、情感职能、精神健康、活力、认知功能、社会功能、总体健康评分升高幅度均显著高于晚期介入康复治疗组(P<0.05)。结论脑梗死后偏瘫病人早期介入康复治疗的康复效果较晚期介入康复治疗好。Objective To study the correlation between the intervention time of different rehabilitation treatment and rehabilitation effect in hemiplegia patients after cerebral infarction.Methods 160 cases of patients with hemiplegia after cerebral infarction in our hospital from January 2017 to December 2019 were retrospectively selected.According to the method,they were divided into two groupsearly intervention rehabilitation group(2 weeks after basic treatment,n=80)and late intervention rehabilitation group(4 weeks after basic treatment,n=80).The neurological functions,motor functions,ability of daily life and quality of life before and after treatment of the two groups were statistically analyzed.Results The decrease of NIHSS score,increases of FMA score and MBI score of upper and lower limbs of the early intervention rehabilitation group were significantly higher than the late intervention rehabilitation group(P<0.05).The scores of physical pain,physiological function,emotional function,mental health,vitality,cognitive function,social function and overall health of the early intervention rehabilitation group were significantly higher than the late intervention rehabilitation group(P<0.05).Conclusion The rehabilitation effect of early intervention rehabilitation is better than late intervention rehabilitation in hemiplegia patients after cerebral infarction.

关 键 词：脑梗死后偏瘫 康复治疗 介入时机 康复效果 神经功能 运动功能 日常生活活动能力 生存质量 

分 类 号：R743.33[医药卫生—神经病学与精神病学]