格林模式指导下的康复训练在脑梗死偏瘫患者中的应用  

Application of Rehabilitation Training Guided by Green's Model in Patients with Cerebral Infarction and Hemiplegia

作　　者：张倩倩 陈露露 玉晓平 ZHANG Qian-qian;CHEN Lu-lu;YU Xiao-ping(Department of Neurology,Liaocheng Third People's Hospital,Liaocheng Shandong 252000,China)

机构地区：[1]聊城市第三人民医院神经二科,山东聊城252000

出　　处：《中华养生保健》2025年第7期80-83,共4页CHINESE HEALTH CARE

摘　　要：目的探讨脑梗死偏瘫患者采用格林模式指导下的康复训练的效果。方法选取2022年2月—2024年1月聊城市第三人民医院收治的共计86例脑梗死偏瘫患者,以随机数表法分成干预组(n=43)与对照组(n=43),对照组给予常规康复训练,干预组给予格林模式指导下的康复训练,比较两组康复训练依从性、肢体功能、日常生活能力。结果干预组的康复依从性(97.67%)高于对照组(81.40%),差异有统计学意义(P<0.05)。干预前,两组的Fugl-Meyer运动功能评定量表(FMA)(上肢功能、下肢功能)评分比较,差异无统计学意义(P>0.05);干预后,两组的FMA(上肢功能、下肢功能)评分均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。干预前,两组的MBI评分比较,差异无统计学意义(P>0.05),干预后,两组MBI评分均高于干预前,且干预组高于对照组,差异有统计学意义(P<0.05)。结论格林模式指导下的康复训练应用于脑梗死偏瘫患者中,能够提高康复训练依从性,改善肢体功能,提高日常生活能力。Objective To explore the application effect of rehabilitation training guided by Green's model in patients with cerebral infarction hemiplegia.Methods A total of 86 patients with cerebral infarction and hemiplegia from February 2022 to January 2024 who were admitted in the Third People's Hospital of Liaocheng City were selected,and randomly divided into the intervention group(n=43,rehabilitation training guided by the Green's model)and the control group(n=43,routine rehabilitation training).The compliance,limb function,and daily living ability in both groups were compared.Results The rehabilitation compliance of the intervention group(97.67%)was higher than control group(81.40%),and the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in the scores of Fugl-Meyer assessment(FMA)(upper limb function,lower limb function)between the two groups(P>0.05).After intervention,the FMA(upper limb function and lower limb function)scores of both groups were higher than before intervention,and the intervention group was higher than control group,the diff erence was statistically signifi cant(P<0.05).Before intervention,there was no statistically signifi cant diff erence in Modifi ed Barthel Index(MBI)scores between the two groups(P>0.05).After intervention,MBI scores of the two groups were higher than before intervention,and the intervention group was higher than control group,the diff erence was statistically signifi cant(P<0.05).Conclusion The application of rehabilitation training guided by the Green's model in patients with cerebral infarction hemiplegia can improve rehabilitation training compliance,enhance limb function,and improve daily living abilities.

关 键 词：格林模式 康复训练 脑梗死 偏瘫 

分 类 号：R743.3[医药卫生—神经病学与精神病学]