早期康复配合电针疗法对脑梗死急性期偏瘫患者运动功能、日常生活能力及认知功能的影响  

Effects of Early Rehabilitation Nursing Combined withElectroacupuncturetherapyon Motor Function,Daily Living Ability,and Cognitive Function of Hemiplegia Patients with Acute Cerebral Infarction

作　　者：谢三红 阳优 曹丽琼[1] 陈彦 XIE San-hong;YANG You;CAO Li-qiong;CHEN Yan(The First People's Hospital of Chenzhou,Chenzhou Hunan 423000)

机构地区：[1]湖南省郴州市第一人民医院,湖南郴州423000

出　　处：《世界中西医结合杂志》2022年第4期802-805,共4页World Journal of Integrated Traditional and Western Medicine

基　　金：湖南省残疾人联合会康复科研项目(2020XK033)。

摘　　要：目的观察早期康复配合电针疗法对脑梗死急性期偏瘫患者运动功能、日常生活能力及认知功能的影响。方法选取2018年8月—2019年6月期间湖南省郴州市第一人民医院收治的脑梗死偏瘫患者80例为研究对象,随机分为观察组和对照组,每组各40例。对照组患者给予脑卒中急性期的常规治疗,包括降低颅内压、控制脑水肿、调控血压、改善脑血循环、促进脑代谢、保护神经等治疗。观察组在对照组的基础上采取配合电针疗法的急性期早期康复模式治疗。康复治疗2、4、6周后,比较两组患者运动功能、生活活动能力及认知功能评分。结果两组患者治疗2、4、6周后运动功能评分均较治疗前明显升高,差异有统计学意义(P<0.05);且治疗组治疗2、4、6周后运动功能评分均较对照组明显升高,差异有统计学意义(P<0.05)。两组患者治疗2、4、6周后日常生活活动能力评分均较治疗前明显升高,差异有统计学意义(P<0.05);且治疗组治疗2、4、6周后日常生活活动能力评分均对照组明显升高,差异有统计学意义(P<0.05)。治疗后观察组患者认知功能改善总有效率为90%(36/40),对照组为67.5%(27/40),两组比较差异有统计学意义(P<0.05)。结论早期康复可促进脑梗死偏瘫患者临床康复,操作简便安全,值得临床进一步推广使用。Objective To explore the effects of early rehabilitation nursing combined with electroacupuncture(EA)therapy on motor function,daily livingability,and cognitive function of hemiplegia patients with acute cerebral infarction.Methods Eighty hemiplegia patients with cerebral infarction admitted to The First People′s Hospital of Chenzhou from August 2018 to June 2019 were divided into an observation group(n=40)and a control group(n=40).The patients in the control group received conventional treatment in the acute phase of stroke,including reducing intracranial pressure,controlling cerebral edema,regulating blood pressure,improving cerebral blood circulation,promoting cerebral metabolism,and protecting nerves.The patients in the observation group were treated with EA combined with early rehabilitation nursing on the basis of the therapeutic protocol of the control group.After two,four,and six weeks of rehabilitation treatment,the motor function,daily living ability,and cognitive function scores of the two groups were observed and compared.Results After two,four,and six weeks of treatment,the motor function scores of the two groups were higher than those before treatment(P<0.05),and the observation group was higher than the control group(P<0.05).The post-treatment scores of daily living ability in the two groups were higher than those before treatment(P<0.05),and the observation group was higher than the control group(P<0.05).After treatment,in terms of cognitive function improvement,the total effective rate in the observation group was 90%(36/40),higher than 67.5%(27/40)in the control group(P<0.05).Conclusion Early rehabilitation,with simple operation and safety,can promote the clinical rehabilitation of hemiplegic patients with cerebral infarction,which is worthy of further clinical application.

关 键 词：脑梗死 偏瘫 急性期康复 电针 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R245.97[医药卫生—临床医学]