临床康复治疗高血压脑卒中的效果研究  

Study on the effect of clinical rehabilitation treatment for hypertensive stroke

作　　者：王万振 王延超 WANG Wan-zhen;WANG Yan-chao(Department of Traditional Chinese Medicine Rehabilitation,Gaotang County People's Hospital,Liaocheng Shandong Province 252800,China;Department of Respiratory and Critical Care Medicine,Gaotang County People's Hospital)

机构地区：[1]高唐县人民医院中医康复科,山东聊城252800 [2]高唐县人民医院呼吸与危重症医学科

出　　处：《中国城乡企业卫生》2024年第2期139-141,共3页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的 分析临床康复治疗应用于高血压脑卒中的价值,为高血压脑卒中的临床治疗提供参考方案。方法 选取2020年2月—2021年3月高唐县人民医院收治的高血压脑卒中患者92例作为观察对象,通过随机数字表法分为对照组和研究组各46例。对照组接受常规药物治疗,以改善神经功能药物为主,研究组在对照组基础上接受临床康复治疗,以穴位按摩、肢体锻炼、平衡训练、站立行走训练、日常生活能力训练及语言功能锻炼为主。比较两组临床疗效、运动功能、日常生活能力及生活质量评分。结果 研究组治疗总有效率为93.48%,高于对照组的78.26%,差异有统计学意义(χ^(2)=7.224,P<0.05)。治疗后,研究组Fugl-Meye、ADL、SF-36评分均高于对照组,差异均有统计学意义(P<0.05)。结论临床康复治疗应用于高血压脑卒中患者的治疗中能有效提高其整体疗效,改善患者运动功能和日常生活能力,进一步提高生活质量水平,值得临床参考借鉴。Objective To analyze the value of clinical rehabilitation treatment applied to hypertensive stroke,and provide reference plans for the clinical treatment of hypertensive stroke.Methods A total of 92hypertensive stroke patients admitted to Gaotang County People's Hospital from February 2020 to March2021 were selected as the observation subjects.They were divided into a control group and a study group according to the random number table method,with 46 cases in each group.The control group received conventional medication treatment,mainly drugs to improve neurological function.The study group received clinical rehabilitation treatment on the basis of the control group,mainly acupoint massage,limb exercise,balance training,standing and walking training,daily life ability training,and language function training.The clinical efficacy,motor function,daily living ability,and quality of life scores between two groups were compared.Results The total effective rate of treatment in the study group was 93.48%,which was higher than 78.26% in the control group,and the difference was statistically significant (χ^(2)=7.224,P<0.05).After treatment,the Fugl-Meye,ADL and SF-36 scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The application of clinical rehabilitation therapy in the treatment of hypertensive stroke patients could effectively improve their overall efficacy,improve their motor function and daily living ability,and further improve their quality of life,which was worth clinical reference and reference.

关 键 词：高血压 脑卒中 临床康复治疗 日常生活能力 运动功能 

分 类 号：R4[医药卫生—临床医学]