运动康复疗法应用在脑卒中气切患者康复治疗中的临床效果  

The clinical effect of exercise rehabilitation in the rehabilitation of stroke patients with pneumatectomy

作　　者：闫苗苗 沈涛 柳青 YAN Miao-miao;SHEN Tao;LIU Qing(Department of Emergency Medicine,Bengbu Hospital of Shanghai First People's Hospital(the Second Affiliated Hospital of Bengbu Medical University),Bengbu 233000,China)

机构地区：[1]上海市第一人民医院蚌埠医院(蚌埠医科大学第二附属医院)急诊内科,233000

出　　处：《中国现代药物应用》2024年第23期165-168,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探讨运动康复疗法在脑卒中气管切开(气切)患者康复治疗中的应用效果。方法选取83例脑卒中气切患者,按照随机数字表法分为对照组(n=41,给予常规治疗+常规护理干预)和观察组(n=42,在对照组基础上应用运动康复疗法干预)。对比两组患者的拔管时间、拔管成功率、吞咽功能[功能性经口摄食评分量表(FOIS)评分]及运动功能[Fugl-Meyer运动功能评定量表(FMA)评分]。结果观察组拔管时间(15.34±3.79)d短于对照组的(17.87±4.21)d,拔管成功率85.71%高于对照组的65.85%(P<0.05)。干预7、14 d后,观察组患者FOIS评分分别为(2.61±0.45)、(3.09±0.62)分,均高于对照组的(2.14±0.36)、(2.76±0.48)分(P<0.05)。干预后,观察组患者FMA评分(56.22±9.64)分高于对照组的(49.47±8.25)分(P<0.05)。结论脑卒中气切患者应用运动康复疗法可有效缩短拔管时间,提升拔管成功率,显著改善患者的吞咽功能和运动功能。Objective To explore the practical effect of exercise rehabilitation in the rehabilitation of stroke patients with pneumatectomy.Methods 83 stroke patients with pneumatectomy were selected and divided into a control group(n=41,conventional treatment+conventional nursing intervention)and an observation group(n=42,exercise rehabilitation intervention on the basis of the control group)according to the random numerical table.The extubation time,success rate of extubation,swallowing function[functional oral intake scale(FOIS)score]and motor function[Fugl-Meyer Assessment Scale(FMA)score]of the two groups were compared.Results The observation group had shorter extubation time of(15.34±3.79)d than(17.87±4.21)d in the control group;the observation group had success rate of extubation of 85.71%,which was higher than 65.85%in the control group(P<0.05).After 7 and 14 d of intervention,the FOIS scores of the observation group were(2.61±0.45)and(3.09±0.62)points,which were higher than(2.14±0.36)and(2.76±0.48)points of the control group(P<0.05).After intervention,the FMA score of(56.22±9.64)points in the observation group was higher than(49.47±8.25)points in the control group(P<0.05).Conclusion The application of exercise rehabilitation can effectively shorten the extubation time,increase the success rate of extubation,and significantly improve the swallowing function and motor function of the patients.

关 键 词：运动康复疗法 脑卒中 气管切开 吞咽功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]