早期肢体康复训练在高血压脑出血偏瘫患者中的应用效果评估  

Evaluation of the Application Effect of Early Limb Rehabilitation Training in Hypertensive Cerebral Hemorrhage Patients with Hemiplegia

作　　者：陈思妮 苏木琼 刘凤英 CHEN Sini;SU Muqiong;LIU Fengying(Department of Rehabilitation Medicine,the Second Hospital of Sanming,Sanming,Fujian,366000,China)

机构地区：[1]三明市第二医院康复医学科,福建三明366000

出　　处：《中外医疗》2024年第35期98-102,共5页China & Foreign Medical Treatment

摘　　要：目的探讨高血压脑出血偏瘫治疗期间,早期肢体康复训练方案的效果。方法方便选取2022年1月—2024年1月三明市第二医院收治的122例高血压脑出血偏瘫患者为研究对象,根据不同康复干预方法分为两组,各为61例。对照组采取常规治疗方案,研究组联合早期肢体康复训练。对比两组治疗总有效率、内皮细胞功能、神经功能评分、运动功能评分与日常生活能力评分。结果干预后,研究组治疗总有效率为95.08%(58/61),高于对照组的80.33%(49/61),差异有统计学意义(χ^(2)=6.157,P<0.05)。干预前,两组患者的内皮细胞功能(一氧化氮、内皮素)与神经功能、运动功能及生活能力评分比较,差异均无统计学意义(P均>0.05);干预后,两组患者的内皮细胞功能(一氧化氮、内皮素)与神经功能、运动功能及生活能力评分均优于干预前,且研究组一氧化氮水平、运动功能评分与生活功能评分均高于对照组,内皮素水平与神经功能评分均低于对照组,差异均有统计学意义(P均<0.05)。结论早期肢体康复训练改善高血压脑出血偏瘫患者神经功能,有助于提高其生活能力,降低内皮细胞功能损伤。Objective To explore the overall effect of the early limb rehabilitation training program during the treatment of hemiplegia caused by hypertensive intracerebral hemorrhage.Methods A total of 122 hemiplegic patients with hypertensive cerebral hemorrhage who were admitted to the Second Hospital of Sanming from January 2022 to January 2024 were conveniently selected as the research objects.They were divided into two groups according to different rehabilitation intervention methods,with 61 cases in each group.The control group adopted the conventional treatment plan,while the research group combined early limb rehabilitation training.The total effective rates of treatment,endothelial cell functions,neurological function scores,motor function scores and activities of daily living scores of the two groups were compared.Results After the intervention,the total effective rate of treatment in the research group was 95.08%(58/61),which was higher than that in the control group 80.33%(49/61),and the difference was statistically significant(χ^(2)=6.157,P<0.05).Before the intervention,there were no statistically significant differences in the endothelial cell functions(nitric oxide,endothelin),neurological function,motor function and activities of daily living scores between the two groups(all P>0.05).After the intervention,the endothelial cell functions(nitric oxide and endothelin),neurological function,motor function and activities of daily living scores of the two groups were all better than those before the intervention,moreover,the levels of nitric oxide,motor function scores and activities of daily living scores of the research group were all higher than those in the control group,while the levels of endothelin and neurological function scores were all lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Early limb rehabilitation training can improve the neurological function of hemiplegic patients with hypertensive cerebral hemorrhage,help to improve their ac

关 键 词：偏瘫 早期肢体康复训练 高血压脑出血 神经功能 

分 类 号：R651[医药卫生—外科学]