神经肌肉关节促进技术在脑卒中康复训练中的疗效观察  

Efficacy of neuromuscular joint facilitation technique in stroke rehabilitation training

作　　者：李海燕[1] 王鲁奎 王凌力 Li Haiyan;Wang Lukui;Wang Lingli(Department of Preventive Health Care,Jinan University Hospital,Jinan 250001,China;Department of Rehabilitation,Jinan Fifth People′s Hospital,Jinan 250022,China)

机构地区：[1]济南大学医院预防保健科,济南250001 [2]济南市第五人民医院康复科,济南250022

出　　处：《保健医学研究与实践》2021年第4期91-94,共4页Health Medicine Research and Practice

摘　　要：目的探讨神经肌肉关节促进技术在脑卒中康复训练中的疗效。方法选取2017年5月-2019年5月济南市某医院诊治的脑卒中患者134例为研究对象,采用随机数字表法将患者分为观察组和对照组,每组67例。对照组患者给予常规传统康复治疗,观察组患者在对照组基础上给予神经肌肉关节促进技术治疗,2组患者康复治疗均持续3个月。比较治疗前后2组患者的下肢运动功能评分及自我管理能力评分,比较2组患者并发症发生情况。结果治疗前,2组患者下肢运动功能评分及自我管理能力评分比较,差异均无统计学意义(P>0.05)。治疗后,2组患者下肢运动功能评分及自我管理能力评分高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。对照组患者发生感染、血肿、静脉血栓等并发症7例,并发症发生率为10.1%。观察组患者发生感染、血肿、静脉血栓等并发症5例,并发症发生率为7.2%。对照组患者并发症发生率高于观察组,但差异无统计学意义(P>0.05)。结论在脑卒中康复训练中应用神经肌肉关节促进技术,可有效改善患者的下肢运动功能,提高自我管理能力,且安全性也较好。Objective To explore the efficacy of neuromuscular joint facilitation technique in stroke rehabilitation training.Methods One hundred and thirty-four stroke patients treated in a hospital in Jinan from May 2017 to May 2019 were selected for the study,and the patients were divided into observation and control groups using a random number table,with 67 cases in each group.Patients in the control group were given conventional rehabilitation treatment,while patients in the observation group were treated with neuromuscular joint promotion method technique based on the conventional treatment in the control group,and the rehabilitation treatment lasted for 3 months in both groups.The lower limb motor function scores and self-management ability scores of the patients in the two groups were compared before and after treatment,and the complications of the patients in the two groups were compared.Results Before treatment,there was no statistically significant difference between the lower limb motor function scores and self-management ability scores of the two groups(P>0.05).After treatment,the lower limb motor function and self-management ability scores of the two groups were significantly higher than those before treatment,and the scores of the observation group were significantly higher than those of the control group(P<0.05).The patients in the control group had 7 cases of complications such as infection,hematoma and venous thrombosis,and the complication rate was 10.1%.In the observation group,there were 5 cases of complications such as infection,hematoma and venous thrombosis,and the complication rate was 7.2%.The incidence of complications was higher in the control group than in the observation group,but the difference was not statistically significant(P>0.05).Conclusion The application of neuromuscular joint facilitation technique in stroke rehabilitation training can effectively improve the lower limb motor function and self-management ability of patients,and it is also safe.

关 键 词：神经肌肉关节促进法 脑卒中 康复训练 自我管理能力 并发症 

分 类 号：R743.3[医药卫生—神经病学与精神病学]