新Bobath技术联合心肺康复训练对脑卒中患者肢体及心肺功能的影响  

Combining new bobath technology with cardiopulmonary rehabilitation better improves the limb and cardiopulmonary functioning of stroke survivors

作　　者：王恒 马晓磊[1] 沈斌 曹留拴[1] 蔡西国[1] 庄卫生 Wang Heng;Ma Xiaolei;Shen Bin;Cao Liushuan;Cai Xiguo;Zhuang Weisheng(Department of Rehabilitation Medicine,Henan Provincial People′s Hospital,Zhengzhou 450003,China;Department of Rehabilitation Medicine,Henan Provincial People′s Hospital,People′s Hospital of Zhengzhou University,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院康复医学科,郑州450003 [2]河南省人民医院康复医学科,郑州大学人民医院,郑州450003

出　　处：《中华物理医学与康复杂志》2023年第11期966-970,共5页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：河南省科技攻关项目(232102310266);河南省卫生健康委员会省部共建重点项目(SBGJ20210203)。

摘　　要：目的观察新Bobath技术联合心肺康复训练对脑卒中患者肢体功能及心肺功能的影响。方法采用随机数字表法将160例脑卒中后肢体障碍患者分为观察组及对照组,每组80例。2组患者均给予常规康复训练及新Bobath技术训练,观察组在此基础上同时辅以心肺康复训练,2组患者均连续治疗12周。于治疗前、治疗后分别采用简化Fugl-Meyer运动功能量表(FMA)、改良Barthel指数量表(MBI)、中国卒中量表(CSS)对2组患者肢体功能、日常生活活动(ADL)能力及受损神经功能恢复情况进行评定,同时采用心肺测试仪检测患者心肺功能情况,具体检测指标包括峰值摄氧量(VO_(2)peak)、峰值代谢当量(METpeak)、峰值心率(HRpeak)及无氧阈(AT)等。结果治疗后2组患者FMA、MBI、CSS评分及各项心肺功能指标均较治疗前明显改善,并且观察组FMA评分[(84.09±5.91)分]、MBI评分[(84.44±18.64)分]、CSS评分[(11.86±10.48)分]及各项心肺功能指标[HRpeak为(122.21±9.64)次/min、VO_(2)peak为(16.40±2.83)ml·kg^(-1)·min^(-1)、METpeak为(4.97±0.78)ml·kg^(-1)·min^(-1)、AT为(7.79±1.62)ml·kg^(-1)·min^(-1)]亦显著优于对照组水平,组间差异均具有统计学意义(P<0.05)。结论新Bobath技术联合心肺康复训练能显著提高脑卒中患者肢体运动功能及心肺功能,对改善患者ADL能力及促进受损神经功能恢复具有重要作用,该联合疗法值得临床推广、应用。Objective To explore any effect of on the limb and cardiopulmonary functioning of stroke survivors of combining new Bobath technique with cardiopulmonary rehabilitation.Methods A total of 160 stroke survivors with limb disorders were randomly divided into an observation group and a control group,each of 80.Both groups were given routine rehabilitation and the new version of Bobath training,but the observation group was additionally provided with 12 weeks of cardiopulmonary rehabilitation.Before and after the treatment the limb functioning of both groups was evaluated along with their ability in the activities of daily living and the recovery of damaged nerve function,using the simplified Fugl-Meyer(FMA)motor function scoring,the modified Barthel index(MBI)and the Chinese stroke scale(CSS).Peak oxygen uptake(VO_(2)peak),peak metabolic equivalent(METpeak),peak heart rate(HRpeak)and anaerobic thresholds(ATs)were documented.Results After the treatment the average FMA,MBI and CSS scores and cardiopulmonary indexes had improved significantly in both groups.All were then significantly better in the observation group than in the control group.Conclusions Combining the new Bobath technique with cardiopulmonary rehabilitation can significantly improve the limb and cardiopulmonary functioning of stroke survivors,as well as their skill in the activities of daily living and the recovery of the damaged nerve functionality.This combination is therefore worthy of clinical promotion and application.

关 键 词：新Bobath技术 心肺康复训练 脑卒中 肢体功能 心肺功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]