[1]武金桥,杨 鑫,马建华.康复介入对缺血性脑卒中患者神经功能及肢体运动功能恢复的疗效[J].医学信息,2021,34(22):91-93.[doi:10.3969/j.issn.1006-1959.2021.22.027]
　WU Jin-qiao,YANG Xin,MA Jian-hua.Effect of Rehabilitation Intervention on Recovery of Neurological Function and Limb Motor Function in Patients with Ischemic Stroke[J].Medical Information,2021,34(22):91-93.[doi:10.3969/j.issn.1006-1959.2021.22.027]
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康复介入对缺血性脑卒中患者神经功能及肢体运动功能恢复的疗效()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年22期
页码:
91-93
栏目:
临床研究
出版日期:
2021-11-15

文章信息/Info

Title:
Effect of Rehabilitation Intervention on Recovery of Neurological Function and Limb Motor Function in Patients with Ischemic Stroke
文章编号:
1006-1959（2021）22-0091-03
作者:
武金桥; 杨 鑫; 马建华
（天津市环湖医院康复医学科，天津 300350）
Author(s):
WU Jin-qiao; YANG Xin; MA Jian-hua
(Department of Rehabilitation Medicine,Tianjin Huanhu Hospital,Tianjin 300350,China)
关键词:
缺血性脑卒中; 康复介入; 神经功能; 肢体运动功能
Keywords:
Ischemic stroke; Rehabilitation intervention; Neurological function; Limb motor function
分类号:
R743.3
DOI:
10.3969/j.issn.1006-1959.2021.22.027
文献标志码:
A
摘要:
目的 探讨康复介入对缺血性脑卒中患者神经功能及肢体运动功能恢复的临床疗效。方法 选取2019年9月-2020年10月我院就诊的缺血性脑卒中患者80例为研究对象，根据随机双目盲选法分为介入组和对照组，每组40例。对照组实施常规康复治疗，介入组在对照组基础上实施康复介入方案，比较两组治疗效果、神经功能、日常生活能力、肢体运动功能及治疗满意度。结果 治疗30 d后，介入组EDSS评分，肢体运动、平衡、感觉、关节活动度评分及MBI评分均高于对照组，差异有统计学意义（P＜0.05）；介入组疼痛评分，NIHSS评分低于对照组，差异有统计学意义（P＜0.05）。介入组治疗满意度为95.00%，高于对照组的67.50%，差异有统计学意义（P＜0.05）。结论 在缺血性脑卒中的临床治疗中实施康复介入的效果理想，可减轻患者神经功能损伤，促进其神经功能、肢体运动功能恢复，还可提升其日常生活能力，且患者治疗满意度较高。
Abstract:
Objective To investigate the clinical effect of rehabilitation intervention on neurological function and limb motor function recovery in patients with ischemic stroke.Methods A total of 80 patients with ischemic stroke in our hospital from September 2019 to October 2020 were selected as the research subjects. According to the random binocular blind selection method, they were divided into intervention group and control group, with 40 cases in each group. The control group received routine rehabilitation treatment, and the intervention group received rehabilitation intervention program on the basis of the control group. The therapeutic effect, neurological function, daily living ability, limb motor function and treatment satisfaction of the two groups were compared.Results After 30 days of treatment, the EDSS score, limb movement, balance, sensation, joint activity score and MBI score of the intervention group were higher than those of the control group, and the difference was statistically significant (P<0.05). The pain score and NIHSS score of the intervention group were lower than those of the control group, and the difference was statistically significant (P<0.05). The treatment satisfaction of the intervention group was 95.00%, which was higher than 67.50% of the control group, and the difference was statistically significant (P<0.05).Conclusion The effect of rehabilitation intervention in the clinical treatment of ischemic stroke is ideal, which can reduce the patient’s neurological damage, promote the recovery of their neurological function and limb motor function, and can also improve their daily life ability and treatment satisfaction.

参考文献/References:

[1]刘倩,王艾英,李颖,等.急性缺血性脑卒中患者行血管内介入术后即刻康复训练的效果研究[J].中国煤炭工业医学杂志,2019,22(4):440-444. [2]付萍萍,金培英,蒋莹,等.康复介入对急性缺血性脑卒中重症患者功能恢复及常见并发症发生的影响[J].中国医药导报,2018,15(17):52-55.[3]Chowdhury T,Rizk AA,Daniels AH,et al.Management of Acute Ischemic Stroke in the Interventional Neuroradiology Suite During the COVID-19 Pandemic: A Global Survey[J].J Neurosurg Anesthesiol,2021,33(1):44-50.[4]彭娟,杨仕彬,胥方元,等.早期介入镜像疗法对缺血性脑卒中患者偏瘫肢体功能恢复的影响[J].中华物理医学与康复杂志,2019,41(3):178-183. [5]姜嘟嘟,余敏,王丽晶,等.综合性卒中临床-康复单元在急性缺血性脑卒中的应用研究[J].山西医药杂志,2020,49(14):1824-1828. [6]徐丹,田峻,陈晨,等.低频重复经颅磁刺激治疗脑卒中后失眠的疗效[J].中国神经免疫学和神经病学杂志,2021,28(1):58-60,66. [7]陈新星,田玲.脑卒中后吞咽障碍患者针刺与康复训练的时机选择[J].实用临床医药杂志,2020,24(6):123-125,129. [8]任彩丽,付娟娟,王红星,等.早期康复临床路径对缺血性脑卒中患者功能恢复影响的多中心、单盲、随机对照研究[J].中国康复医学杂志,2017,32(3):275-282. [9]陆敏智,黄鹏,仲玲玲,等.缺血性脑卒中患者近期功能预后影响因素分析[J].中华物理医学与康复杂志,2018,40(1):38-40. [10]陈秀芳,王朝军,罗国英,等.早期康复训练用于缺血性脑卒中偏瘫患者的效果评价[J].中华全科医学,2015,13(1):109-111.[11]吴梅,陈龙腾.早期康复训练治疗对脑卒中患者日常生活能力及认知功能障碍的影响研究[J].中国实用医药,2019,14(22):190-191.[12]韦玉鲁.康复治疗介入时机对脑梗死偏瘫病人康复效果的影响[J].中西医结合心脑血管病杂志,2015,13(18):2112-2114.[13]车振兰.早期康复护理对脑卒中偏瘫患者运动功能恢复的影响[J].检验医学与临床,2016,13(2):335-336. [14]甘晓斌,吴端义,王丹阳,等.康复早期介入对急性缺血性脑卒中患者生活质量的影响[J].中国老年学杂志,2020,40(9):1992-1995.

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更新日期/Last Update: 1900-01-01