强制性运动疗法在脑卒中偏瘫康复治疗中的效果以及对生活自理能力、运动功能、NOSIE评分的影响分析  

The Effect of Compulsory Exercise Therapy in the Rehabilitation of Stroke Hemiplegia and its Influence on Self-care Ability,Motor Function and NOSIE Score

作　　者：姜静静 高炳 赵淑娟 徐豆豆 JIANG Jing-jing;GAO Bing;ZHAO Shu-juan(Department of Neurology,No.989 Hospital,Joint Logistics Support Force of the Chinese People’s Liberation Army,Luoyang,Henan,471000,China)

机构地区：[1]中国人民解放军联勤保障部队第九八九医院神经内科,河南洛阳471000

出　　处：《黑龙江医学》2022年第13期1605-1607,共3页Heilongjiang Medical Journal

摘　　要：目的:探析脑卒中偏瘫患者采用强制性运动疗法进行康复治疗的效果以及对其生活自理能力、运动能力、护士用住院患者观察量表(NOSIE)评分的影响。方法:回顾性分析选取中国人民解放军联勤保障部队第九八九医院2021年1—5月收治的106例脑卒中偏瘫患者作为研究对象。根据康复治疗的方案不同将患者分为对照组与观察组,每组各53例。对照组接受常规康复治疗,在此基础上,观察组加用强制性运动疗法治疗,比较两组患者接受不同方案治疗所取得的效果、治疗前后的生活自理能力[改良Barthel指数(MBI)]、运动功能[Fugl-Meyer运动功能评定量表(FMA)]以及NOSIE评分。结果:接受治疗1个月后,与对照组比较,观察组疗效更优,差异有统计学意义(χ^(2)=5.492,P<0.05),观察组MBI评分与FMA评分更高,差异有统计学意义(t=4.864、4.819,P<0.05),观察组NOSIE评分更优,差异有统计学意义(t=4.810,P<0.05)。结论:强制性运动疗法可提高脑卒中偏瘫患者康复效果,帮助其恢复运动功能,提升生活自理能力,改善NOSIE评分,具有临床推广价值。Objective:To explore the effect of compulsory exercise therapy for rehabilitation of stroke patients with hemiplegia and its influence on self-care ability,exercise ability,and Nurse Inpatient Observation Inventory(NOSIE)score.Methods:A total of 106 stroke patients with hemiplegia who were admitted to the hospital from January 2021 to May 2021 were selected as the re⁃search objects,and the patients were divided into control group and observation group according to different rehabilitation treat⁃ment plans,with 53 cases in each group.The patients in the control group received conventional rehabilitation therapy,and on this basis,the patients in the observation group were additionally treated with compulsory exercise therapy.The effects of different treat⁃ment regimens,self-care ability(modified Barthel index[MBI]),motor function(Fugl-Meyer motor function assessment[FMA])and NOSIE score before and after treatment were compared between the two groups.Results:After 1 month of treatment,compared with the control group,the curative effect of the observation group was better,and the difference was statistically significant(χ^(2)=5.492,P<0.05).The MBI score and FMA score in the observation group were higher,and the difference was statistically signifi⁃cant(t=4.864,4.819,P<0.05).The NOSIE score in the observation group was better,and the difference was statistically signifi⁃cant(t=4.810,P<0.05).Conclusion:Mandatory exercise therapy can improve the rehabilitation effect of stroke patients with hemi⁃plegia,help them restore motor function,improve their self-care ability,and improve the NOSIE score,which has clinical promo⁃tion value.

关 键 词：脑卒中偏瘫 强制性运动疗法 康复治疗 疗效 

分 类 号：R47[医药卫生—护理学]