物理疗法配合文体训练对脑卒中患者的效果评价  

Effect Evaluation of Physical Therapy Combined with Sports Training in Stroke Patients

作　　者：曹欣 Cao Xin(Department of Rehabilitation,Wujin Hospital of Traditional Chinese Medicine,Changzhou 213159,Jiangsu Province,China)

机构地区：[1]武进中医医院康复科,江苏常州213159

出　　处：《中国社区医师》2023年第3期117-120,共4页Chinese Community Doctors

摘　　要：目的:研究物理疗法配合文体训练早期干预在脑卒中患者神经康复中的价值。方法:选取2017年1月-2022年8月武进中医医院康复科收治的80例脑卒中患者为研究对象,根据随机取样法分为基础组和联用组,各40例。基础组采用常规药物治疗,联用组采用物理疗法配合文体训练,比较两组生活质量、功能恢复情况、临床指标及临床疗效。结果:干预前,两组生理职能、社会职能、物质生活及总体健康评分比较,差异无统计学意义(P>0.05);干预后,两组各项评分均高于干预前,且联用组高于基础组,差异有统计学意义(P<0.05)。干预前,两组Fugl-Meyer评定量表(FMA)、美国国立卫生研究院卒中量表(NIHSS)、Berg平衡量表(BBS)、功能独立性评定量表(FIM)评分比较,差异无统计学意义(P>0.05);干预后,两组FMA、BBS、FIM评分高于干预前,NIHSS评分低于干预前,且联用组FMA、BBS、FIM评分高于基础组,NIHSS评分低于基础组,差异有统计学意义(P<0.05)。干预前,两组视觉模拟评分法(VAS)、Barthel指数(BI)评分比较,差异无统计学意义(P>0.05);干预后,两组VAS评分低于干预前,BI评分高于干预前,且联用组VAS评分低于基础组,BI评分高于基础组,差异有统计学意义(P<0.05)。联用组总有效率高于基础组,差异有统计学意义(P=0.034)。结论:物理疗法配合文体训练可提高脑卒中患者的生活质量,早期恢复神经功能、平衡功能及肢体功能,减缓疼痛,促使患者尽早回归日常生活,达到预期疗效。Objective:To study the value of early intervention of physical therapy combined with sports training on neurological rehabilitation of stroke patients.Methods:A total of 80 stroke patients admitted to the Department of Rehabilitation,Wujin Hospital of Traditional Chinese Medicine from January 2017 to August 2022 were selected as the study subjects.According to the random sampling method,the patients were divided into basic group and combined group,with 40 cases in each group.The basic group was given conventional drug treatment and the combined group was given physical therapy combined with sports training.The quality of life,functional recovery,clinical indicators and clinical efficacy of the two groups were compared.Results:Before the intervention,there were no significant differences in the scores of physiological function,social function,material life and overall health between the two groups(P>0.05).After the intervention,the scores of physiological function,social function,material life and overall health in the two groups were higher than those before the intervention,and the combined group was higher than the basic group,with statistically significant difference(P<0.05).Before the intervention,there were no significant differences in Fugl-Meyer Assessment(FMA),National Institutes of Health Stroke Scale(NIHSS),Berg Balance Scale(BBS),Functional Independence Measure(FIM) scores between the two groups(P>0.05).After the intervention,the FMA,BBS and FIM scores in the two groups were higher than those before the intervention,while the NIHSS scores were lower than those before the intervention,and the FMA,BBS,and FIM scores in the combined group were higher than those in the basic group,while the NIHSS scores were lower than those in the basic group,with statistically significant difference(P<0.05).Before the intervention,there was no significant difference in Visual Analogue Scale(VAS) and Barthel Index(BI) scores between the two groups(P>0.05).After the intervention,the VAS score in the two groups was lower th

关 键 词：物理疗法 文体训练 脑卒中 神经功能 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]