偏瘫患者采取综合性神经康复治疗的临床效果  

Clinical Effect of Comprehensive Neurorehabilitation in Patients With Hemiplegia

作　　者：晏梓宴 赵新[1] 覃旭[1] 李春雷 屈慧君 YAN Ziyan;ZHAO Xin;QIN Xu;LI Chunlei;QU Huijun(Department of Rehabilitation,Chengdu Third People’s Hospital,Chengdu Sichuan 610014,China;Department of Traditional Chinese Medicine Rehabilitation,Aba Forestry Central Hospital/Dujiangyan Branch of Chengdu Third People’s Hospital,Dujiangyan Sichuan 611830,China)

机构地区：[1]成都市第三人民医院康复科,四川成都610014 [2]阿坝州林业中心医院/成都市第三人民医院都江堰分院中医康复科,四川都江堰611830

出　　处：《中国卫生标准管理》2021年第23期81-84,共4页China Health Standard Management

摘　　要：目的讨论偏瘫患者采取综合性神经康复治疗的临床效果。方法将医院2019年8月—2021年1月收治的88例偏瘫患者随机分为对照组与研究组各44例,对照组单纯性实施常规治疗,研究组在对照组基础上采取综合性神经康复治疗,评价不同治疗方案效果,评价依据为:临床效果、神经功能缺损情况、肢体运动功能及日常生活能力、负性情绪、生活质量。结果研究组临床效果总有效率的95.45%明显高于对照组总有效率79.55%,差异有统计学意义(P<0.05)。治疗前组间神经功能缺损情况差异无统计学意义(P>0.05);治疗2周及4周后研究组患者的神经功能缺损程度明显比对照组轻,差异有统计学意义(P<0.05)。治疗前组间肢体运动功能及日常生活能力差异无统计学意义(P>0.05);治疗后研究组上肢及下肢肢体运动功能、日常生活能力均明显高于对照组,差异有统计学意义(P<0.05)。治疗前两组负性情绪差异无统计学意义(P>0.05);治疗后研究组患者的负性情绪明显比对照组轻,差异有统计学意义(P<0.05)。两组各项生活质量治疗前评分值均较低,差异无统计学意义(P>0.05);治疗后研究组躯体功能、情绪功能、角色功能、社会功能评分值均显著高于对照组,差异有统计学意义(P<0.05)。结论综合性神经康复治疗措施可明显改善偏瘫患者的神经缺损症状及肢体功能,提高治疗效果及日常生活能力,且可关注对其负面情绪的改善,利于提高生活质量。Objective To discuss the clinical effect of comprehensive neurological rehabilitation in patients with hemiplegia.Methods A total of 88 patients with hemiplegia admitted to our hospital from August 2019 to January 2021 were randomly divided into the control group(n=44)and the study group(n=44).The control group was simply treated with conventional treatment,while the study group was treated with comprehensive neurological rehabilitation on the basis of the control group,and the effects of different treatment regimens were evaluated according to:clinical effect,neurological impairment,limb motor function and daily living ability,negative emotions,quality of life.Results The effective rate of 95.45%in the study group was significantly higher than that of 79.55%in the control group,the difference was statistically significant(P<0.05).Before treatment,there was no statistically significant difference in neurological function deficit between groups(P>0.05).After 2 and 4 weeks of treatment,the degree of neurological impairment in the study group was significantly less than that in the control group,the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in limb motor function and daily living ability between groups(P>0.05).After treatment,the motor function and daily living ability of upper and lower limbs in the study group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).Before treatment,there was no significant difference in negative emotion between the two groups(P>0.05).After treatment,the negative emotions in the study group were significantly lighter than those in the control group,the difference was statistically significant(P<0.05).The pre-treatment scores of quality of life in both groups were lower,the difference was not statistically significant(P>0.05).After treatment,the scores of physical function,emotional function,role function and social function in the study group were significantly highe

关 键 词：偏瘫 综合性神经康复治疗 情绪 肢体 生活能力 神经功能 

分 类 号：R493[医药卫生—康复医学]