认知行为干预联合超早期强化康复训练对脑梗死后偏瘫患者的影响  

Effect of cognitive behavior intervention combined with ultra-early intensive rehabilitation training on patients with hemiplegia after cerebral infarction

作　　者：吴华丽[1] 彭君[1] WU Hua-li;PENG Jun(Department of Infection,Tianyou Hospital Affiliated to Wuhan University of Science and Technology,Wuhan 430064,China)

机构地区：[1]武汉科技大学附属天佑医院感染科,430064

出　　处：《中国现代药物应用》2025年第4期159-162,共4页Chinese Journal of Modern Drug Application

摘　　要：目的观察认知行为干预联合超早期强化康复训练对脑梗死后偏瘫患者的影响。方法90例脑梗死后偏瘫患者,根据入院先后顺序分为对照组和观察组,每组45例。对照组给予常规措施干预,观察组给予认知行为干预联合超早期强化康复训练干预。比较两组患者干预前后的功能指标[美国国立卫生研究院卒中量表(NIHSS)、简易智能精神状态检查量表(MMSE)、简化Fugl-Meyer运动功能评分法(FMA)评分]、日常生活活动能力[日常生活活动能力量表(ADL)评分]、自理能力[Barthel指数(BI)评分]及生活质量[简明健康状况调查量表(SF-36)评分]。结果干预后,两组NIHSS评分低于本组干预前,MMSE、FMA评分高于本组干预前,且观察组NIHSS评分(15.61±4.25)分低于对照组的(20.06±4.74)分,MMSE评分(26.17±4.82)分、FMA评分(85.07±8.31)分高于对照组的(22.29±4.43)、(77.32±7.45)分(P<0.05)。干预后,两组ADL、BI评分均高于本组干预前,且观察组ADL评分(65.72±9.17)分、BI评分(83.69±8.07)分均明显高于对照组的(56.26±8.54)、(69.13±5.72)分(P<0.05)。干预后,两组生理功能、总体健康、活力及社会功能评分均高于本组干预前,且观察组生理功能评分(81.35±8.07)分、总体健康评分(82.03±7.85)分、活力评分(81.39±8.02)分及社会功能评分(82.15±8.13)分均高于对照组的(72.86±7.23)、(73.18±6.95)、(71.73±7.14)、(72.06±7.20)分(P<0.05)。结论认知行为干预联合超早期强化康复训练可改善脑梗死后偏瘫患者的神经运动功能、日常生活活动能力、自理能力及生活质量。Objective To observe the effect of cognitive behavior intervention combined with ultra-early intensive rehabilitation training on patients with hemiplegia after cerebral infarction.Methods 90 patients with hemiplegia after cerebral infarction were divided into a control group and an observation group according to the order of admission,each consisting of 45 patients.The control group was treated with routine intervention,while the observation group was treated with cognitive behavior intervention combined with ultra-early intensive rehabilitation training.Patients in both groups were compared in terms of function indicators[National Institutes of Health Stroke Scale(NIHSS)score,Mini-Mental State Examination Scale(MMSE)score,Fugl-Meyer Assessment Scale(FMA)score,Activity of Daily Living(ADL)score],self-care ability[Barthel index(BI)score]and quality of life[36-Item Short-Form Health Survey(SF-36)score]before and after intervention.Results After intervention,the NIHSS score in both groups were lower than that before intervention,and the MMSE and FMA scores were higher than those before intervention;the observation group had lower NIHSS score of(15.61±4.25)points than(20.06±4.74)points in the control group;MMSE score and FMA score were(26.17±4.82)and(85.07±8.31)points in the observation group,which were higher than(22.29±4.43)and(77.32±7.45)points in the control group(P<0.05).After intervention,the ADL and BI scores in both groups were higher than those before intervention;the observation group had ADL score of(65.72±9.17)points and BI score of(83.69±8.07)points,which were significantly higher than(56.26±8.54)and(69.13±5.72)points in the control group(P<0.05).After intervention,the scores of physical function,general health,vitality and social function in both groups were higher than those before intervention;in the observation group,the physical function score was(81.35±8.07)points,the general health score was(82.03±7.85)points,the vitality score was(81.39±8.02)points and the social function score was(

关 键 词：认知行为干预 超早期强化康复训练 脑梗死后偏瘫 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]