体感模拟训练联合间歇充气加压对急性脑梗死患者运动功能障碍的改善作用  

Effect of somatosensory simulation training combined with intermittent inflation and pressurization on motor dysfunction in patients with acute cerebral infarction

作　　者：栾斌[1] 李铮[1] LUAN Bin;LI Zheng(Department of Rehabilitation Medicine,Liaocheng People's Hospital,Liaocheng 252000,Shandong,China)

机构地区：[1]聊城市人民医院康复医学科,聊城252000

出　　处：《医学研究与战创伤救治》2024年第4期370-374,共5页Journal of Medical Research & Combat Trauma Care

基　　金：山东省卫生健康委员会科研项目(20210279)。

摘　　要：目的探讨体感模拟训练联合间歇充气加压(IPC)对急性脑梗死患者运动功能障碍的改善作用。方法选择2021年1月至2022年1月在聊城市人民医院接受治疗的急性脑梗死偏瘫患者40例。使用计算机生成的随机数将他们随机分为2组:对照组(n=21)和联合组(n=19)。对照组患者接受常规药物治疗和康复治疗,联合组在对照组治疗的基础上加用体感模拟训练联合IPC治疗。主要结局:干预前后主动伸展任务期间肘部伸展和躯干向前运动的变化。次要结局:干预前后上肢Fugl-Meyer评估、积木箱子测验、行动研究手臂测试(ARAT)、运动活动日志(MAL)和卒中影响量表(SIS)。结果2组肘部伸展角度在干预后都有所增加,并且联合组的增加程度明显大于对照组(6.4±0.9 vs 2.5±0.6,P=0.04,效应量=0.68)。2组躯干向前运动在干预后都有所降低,并且联合组的降低程度明显大于对照组(−6.1±0.8 vs−2.3±0.4,P=0.04,效应量=0.70)。2组Fugl-Meyer评分在干预后均有所增加,并且联合组干预后Fugl-Meyer评分明显大于对照组(49.0±4.6 vs 42.1±4.9,P=0.03,效应量=0.81)。2组在ARAT、积木箱子测验评分、MAL评分及SIS的变化方面差异无统计学意义(P>0.05)。结论体感模拟训练联合IPC治疗有助于改善急性脑梗死患者的肘部伸展、Fugl-Meyer评分,减少躯干向前运动。Objective To explore the improvement effect of somatosensory simulation training combined with intermittent inflation and pressurization(IPC)on motor dysfunction in patients with acute cerebral infarction.Methods A total of 40 hemiplegic patients with acute cerebral infarction treated in Liaocheng People's Hospital from January 2021 to January 2022 were selected for research.They were randomly divided into two groups using computerized random numbers:control group(n=21)and observation group(n=19).Patients in the control group received routine drug therapy and rehabilitation therapy,while those in the observation group were treated with somatosensory simulation training combined with IPC in addition to the treatment of the control group.Main outcome:the changes of elbow extension and trunk forward movement during active extension task before and after intervention.Secondary outcomes:the changes of Fugl-Meyer assessment,box and block test,action research arm test(ARAT),motor activity log(MAL)and stroke impact scale(SIS)before and after intervention.Results The elbow joint extension angle of both groups increased after intervention,and the increase degree of the observation group was significantly greater than that of the control group(6.4±0.9 vs 2.5±0.6,P=0.04,effective amount=0.68).In addition,the trunk position of both groups decreased after the intervention,and the degree of decrease in the observation group was significantly greater than that in the control group(−6.1±0.8 vs−2.3±0.4,P=0.04,effective dose=0.70).Fugl-Meyer scores in both groups increased after the intervention,and the Fugl-Meyer scores of the observation group were higher than those of the control group after intervention(49.0±4.6 vs 42.1±4.9,P=0.03,effective dose=0.81).In addition,there was no significant difference between the two groups in the changes of ARAT,box and block test score or MAL score or SIS(P>0.05).Conclusion Somatosensory simulation training combined with IPC treatment can improve elbow extension and Fugl-Meyer score of

关 键 词：体感模拟训练 间歇充气加压 急性脑梗死 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]