[1]武瑞森,李树杰.不同时机康复治疗对脑梗死偏瘫患者神经功能及运动能力的影响[J].医学信息,2024,37(06):139-142.[doi:10.3969/j.issn.1006-1959.2024.06.024]
　WU Rui-sen,LI Shu-jie.Effect of Rehabilitation Therapy at Different Time on Neurological Function and Motor Function in Patients with Hemiplegia After Cerebral Infarction[J].Journal of Medical Information,2024,37(06):139-142.[doi:10.3969/j.issn.1006-1959.2024.06.024]
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不同时机康复治疗对脑梗死偏瘫患者神经功能及运动能力的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年06期
页码:
139-142
栏目:
论著
出版日期:
2024-03-15

文章信息/Info

Title:
Effect of Rehabilitation Therapy at Different Time on Neurological Function and Motor Function in Patients with Hemiplegia After Cerebral Infarction
文章编号:
1006-1959（2024）06-0139-04
作者:
武瑞森; 李树杰
（空军军医大学第二附属医院康复科，陕西 西安 710038）
Author(s):
WU Rui-sen; LI Shu-jie
(Department of Rehabilitation,the Second Affiliated Hospital of Air Force Military Medical University,Xi’an 710038,Shaanxi,China)
关键词:
不同时机; 康复治疗; 脑梗死; 偏瘫; 神经功能; 运动能力
Keywords:
Different time; Rehabilitation therapy; Cerebral infarction; Hemiplegia; Nerve function; Motor ability
分类号:
R743
DOI:
10.3969/j.issn.1006-1959.2024.06.024
文献标志码:
A
摘要:
目的 观察不同时机康复治疗对脑梗死偏瘫患者神经功能及运动能力的影响。方法 选取2022年1月-2023年2月我院治疗的64例脑梗死偏瘫患者为研究对象，采用随机数字表法分为对照组和观察组，各组32例。对照组于基础治疗4周内进行康复治疗，观察组于基础治疗2周内进行康复治疗，比较两组神经功能（NIHSS评分）、运动能力（Fugl-Meyer评分）、日常生活活动能力（Barthel指数）、生存质量（SF-36评分）、并发症发生率。结果 两组治疗2、4周后NIHSS评分均低于治疗前，Fugl-Meyer、Barthel评分均高于治疗前，且观察组NIHSS评分低于对照组，Fugl-Meyer、Barthel评分高于对照组（P＜0.05）；两组治疗4周后 SF-36评分高于治疗前，且观察组高于对照组（P＜0.05）；观察组并发症发生率为6.25%，低于对照组的18.75%（P＜0.05）。结论 不同时机康复治疗对脑梗死偏瘫患者临床效果存在差异，基础治疗2周内开展康复治疗可促进神经功能、运动能力恢复，提高患者的生活质量，预防并发症的发生。
Abstract:
Objective To observe the effects of rehabilitation therapy at different times on neurological function and motor ability in patients with hemiplegia after cerebral infarction.Methods A total of 64 patients with cerebral infarction hemiplegia treated in our hospital from January 2022 to February 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 32 patients in each group. The control group was treated with rehabilitation within 4 weeks of basic treatment, and the observation group was treated with rehabilitation within 2 weeks of basic treatment. The neurological function (NIHSS score), motor ability (Fugl-Meyer score), activities of daily living (Barthel index), quality of life (SF-36 score) and complication rate were compared between the two groups.Results After 2 and 4 weeks of treatment, the NIHSS score of the two groups was lower than that before treatment, and the Fugl-Meyer and Barthel scores were higher than those before treatment, and the NIHSS score of the observation group was lower than that of the control group, and the Fugl-Meyer and Barthel scores were higher than those of the control group (P<0.05); after 4 weeks of treatment, the SF-36 score of the two groups were higher than that before treatment, and that in the observation group was higher than that in the control group (P<0.05). The incidence of complications in the observation group was 6.25%, which was lower than 18.75% in the control group (P<0.05).Conclusion Rehabilitation therapy at different times has different clinical effects on patients with hemiplegia after cerebral infarction. Rehabilitation therapy within 2 weeks of basic treatment can promote the recovery of neurological function and motor ability, improve the quality of life of patients, and prevent complications.

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更新日期/Last Update: 1900-01-01