奥塔戈运动联合胞二磷胆碱对脑卒中偏瘫患者肢体功能的影响  

Effect of Otago Exercise Training Combined with Cytidine Diphosphate Choline on Limb Function of Stroke Patients with Hemiplegia

作　　者：班玉霞 白莉[2] BAN Yu-xia;BAI Li(Department of Internal Medicine-Neurology,Yan'an People's Hospital,Yan'an Shaanxi 716000)

机构地区：[1]延安市人民医院神经内科,陕西延安716000 [2]延安市人民医院康复医学科,陕西延安716000

出　　处：《医学临床研究》2022年第5期648-651,共4页Journal of Clinical Research

基　　金：陕西省科协企业创新争先青年人才托举计划项目(20180308)。

摘　　要：【目的】探讨奥塔戈运动联合胞二磷胆碱对脑卒中偏瘫患者肢体功能的影响。【方法】选取本院2020年1月至2022年1月收治的120例脑卒中偏瘫患者为研究对象,按照随机数字表法分为观察组与对照组,对照组采取胞二磷胆碱治疗,观察组在对照组的基础上增加奥塔戈运动干预,比较两组临床疗效,干预前后平衡能力、上肢下肢功能、步行能力、活动能力及生存质量。【结果】干预后,观察组临床有效率显著高于对照组,差异有统计学意义(P<0.05);干预后,两组的Berg平衡量表(BBS)、修正版跌倒效能量表(MFES)、简易Fugl-Meyer运动功能量表(FMA)、Holden步行功能分级量表(FAC)、Barthel指数评定量表(BI)、脑卒中专门化生存质量量表(SSQOL)评分均显著上升,观察组的BBS、MFES、FMA、FAC、BI、SSQOL评分显著高于对照组,差异有统计学意义(P<0.05)。【结论】增加奥塔戈运动能够明显增强脑卒中偏瘫患者的临床疗效,提高患者的平衡能力、上下肢功能、步行能力和活动能力,使患者能够有更好的生活质量。【Objective】To investigate the effect of Otago exercise training combined with cytidine diphosphate choline on limb function of stroke patients with hemiplegia.【Methods】A total of 120 patients with stroke hemiplegia treated in our hospital from January 2020 to January 2022 were selected as the research object.They were randomly divided into observation group and control group.The control group was treated with Cytidine Diphosphate Choline.The observation group added Otago exercise intervention on the basis of the control group.The clinical efficacy,balance ability,upper and lower limb function,walking ability,activity ability and quality of life of the two groups were compared.【Results】After the intervention,the clinical effective rate of the observation group was significantly higher than that of the control group(P<0.05);After the intervention,the scores of Berg Balance Scale(BBS),modified fall response energy scale(MFEs),simple Fugl Meyer motor function scale(FMA),Holden walking function rating scale(FAC),Barthel index rating scale(BI)and stroke specialized quality of life scale(SSQOL)in the two groups increased significantly.The scores of BBS,MFEs,FMA,FAC,BI and SSQOL in the observation group were significantly higher than those in the control group(P<0.05).【Conclusion】Increasing Otago exercise can significantly enhance the therapeutic effect of stroke patients with hemiplegia,improve their balance ability,upper and lower limb function,walking ability and activity ability,and enable patients to have a better quality of life.

关 键 词：卒中/并发症 偏瘫/康复 四肢/病理生理学 胞苷二磷酸胆碱/药理学 

分 类 号：R743.3[医药卫生—神经病学与精神病学]