首页|早期不同康复策略促进脑卒中后偏瘫患者上肢功能恢复的效果

早期不同康复策略促进脑卒中后偏瘫患者上肢功能恢复的效果

Effect of different early rehabilitation strategies on the recovery of upper limb function in post-stroke hemiplegia

扫码查看
目的 探讨脑卒中后偏瘫患者采用早期不同康复治疗策略促进上肢功能恢复的效果.方法 选取2021 年 1 月至2022 年6 月收治的脑卒中后偏瘫患者82 例随机数字表法分为对照组和观察组,每组41 例.对照组采用早期康复训练治疗,观察组采用体感模拟训练系统结合早期康复训练治疗,比较2 组的美国国立卫生研究院卒中量表(NIHSS)评分、简易上肢功能检查量表(STEF)评分、Fugl-Meyer评分、改良Barthel指数(MBI)评分和康复治疗满意度.结果 2 组治疗 1 个月、2 个月后的NIHSS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05).2 组治疗1 个月、2 个月后的STEF评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).2组治疗 1 个月、2 个月后的Fugl-Meyer评分分别为(45.25±5.26)分、(61.19±5.35)分,对照组分别为(35.36±5.13)分、(46.89±5.28)分,2 组均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组治疗 2 个月后的MBI评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).观察组康复治疗满意度为 97.56%高于对照组的 78.05%,差异有统计学意义(P<0.05).结论 脑卒中后偏瘫患者采用体感模拟训练系统结合早期康复训练治疗,有利于促进患者上肢功能恢复,提高患者生活质量和康复治疗满意度.
Objective To investigate the effect of different early rehabilitation strategies on the recovery of upper limb function in patients with post-stroke hemiplegia.Methods A total of 82 stroke patients admitted from January 2021 to June 2022 were selected.They were randomly divided into the control group and observation group according to the random number table method,with 41 patients in each group.All patients were treated with early rehabilitation training,and those in the observation group were additionally treated with somatosensory simulation training system.Patients were surveyed using the National Institute of Health Stroke Scale(NIHSS),the Simple Test for Evaluating Hand Function(STEF),the Fugl-Meyer Assessment(FMA),the Modified Barthel Index(MBI)and rehabilitation treatment satisfaction.Results The NIHSS scores at 1 month and 2 months of treatment were significantly lower than those before treatment in both groups,which were significantly lower in the observation group than those of control group(P<0.05).The STEF scores at 1 month and 2 months of treatment were significantly higher than those before treatment in both groups,which were significantly higher in the observation group than those of control group(P<0.05).The FMA scores at 1 month and 2 months of treatment were significantly higher than those before treatment in both groups,which were significantly higher in the observation group than those of control group(1 month:[45.25±5.26]points vs[35.36±5.13]points,P<0.05;2 months:[61.19±5.35]points vs[46.89±5.28]points,P<0.05).The MBI score at 2 months of treatment was significantly higher than those before treatment in both groups,which was significantly higher in the observation group than those of control group(P<0.05).The satisfaction rate with rehabilitation treatment was significantly higher in the observation group than that of control group(97.56%vs 78.05%,P<0.05).Conclusion The somatosensory simulation training system combined with early rehabilitation training for patients with post-stroke hemiplegia can promote the recovery of upper limb function,and improve the quality of life and satisfaction of rehabilitation treatment.

strokehemiplegiaupper limb functionmodified Barthel indexsomatosensory simulation training system

白惠婷、李颖、李淑英

展开 >

200438 上海市,中国人民解放军海军军医大学第一附属医院康复医学科

200438 上海市,中国人民解放军海军军医大学第一附属医院神经内科

脑卒中 偏瘫 上肢功能 改良Barthel指数 体感模拟训练系统

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(5)
  • 18