首页|早期康复干预结合血管介入治疗急性缺血性脑血管病患者的效果分析

早期康复干预结合血管介入治疗急性缺血性脑血管病患者的效果分析

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目的 探讨急性缺血性脑血管病采取早期康复干预配合血管介入治疗的效果.方法 选取2021年12月至2022年12月收治的急性缺血性脑血管病患者100例,依据随机数字表法分为对照组和观察组,每组50例.患者均接受血管介入治疗,对照组采取传统干预,观察组采取早期康复干预.比较2组干预前后阻力指数(RI)、平均血流速度(Vm)、神经功能缺损评分(NIHSS)、肢体运动功能[Fugl-Meye运动功能量表(FMAS)]、日常生活能力评分(ADL)及护理满意度.结果 干预前,2组患者RI、Vm水平比较差异无统计学意义(P>0.05);干预后,观察组患者RI低于对照组、Vm高于对照组,差异有统计学意义(P<0.05).干预前,2组患者NIHSS、FMAS、ADL评分比较差异无统计学意义(P>0.05);干预后,观察组NIHSS较对照组低,FMAS、ADL评分较对照组高(P<0.05).观察组患者出院1个月、3个月时的洼田饮水试验评分低于对照组,差异有统计学意义(P<0.05).观察组护理满意率为96.00%高于对照组的80.00%,差异有统计学意义(P<0.05).结论 早期康复干预配合血管介入治疗应用在急性缺血性脑血管病中,可改善患者的血流速度和阻力指数,患者的神经功能状态得到改善,其肢体功能和日常生活能力明显提升,值得借鉴及推广.
Effect of early rehabilitation intervention combined with vascular intervention in acute ischemic cerebrovascular disease patients
Objective To explore the effect of early rehabilitation intervention combined with vascular interventional therapy on acute ischemic cerebrovascular disease(AICD).Methods One-hundred patients with AICD admitted to our hospital from December 2021 to December 2022 were enrolled,and they were randomly divided into the control group(n=50)and the observation group(n=50)according to number table.All patients received vascular interventional treatment,the patients in the control group received traditional intervention,and those in the observation group received early rehabilitation intervention.The resistance index,average blood flow velocity,neurological deficit score,limb motor function,daily living ability score and nursing satisfaction were compared between the two groups before and after intervention.Results The levels of resistance index(RI)and mean blood flow velocity(Vm)between the two groups before intervention were comparable(P>0.05).After intervention,RI in the observation group was significantly lower than that of the control group,but Vm index was significantly higher(P<0.05).The difference was not statistically significant in the levels of indexes between groups(P>0.05).After intervention,National Institutes of Health Stroke Scale(NIHSS)in observation group was significantly lower than that of control group,but Fugl-Meyer Assessment Scale(FMAS)score,activities of daily living(ADL)in the observation group were significantly higher(P<0.05).The scores of the water swallow test(WST)at 1 and 3 months after discharge in the observation group,respectively,which significantly lower than those of the control group(P<0.05).The nursing satisfaction rate of observation group was significantly higher than that of control group(96.00%vs 80.00%,P<0.05).Conclusion The application of early rehabilitation intervention combined with vascular interventional treatment in patients with AICD can improve the blood flow velocity and resistance index of patients,improve the neurological function of patients,and significantly enhance the limb function and daily living ability,which can be used for reference and promotion in clinical practice.

early rehabilitation interventionvascular interventionacute ischemic cerebrovascular diseaseneural function

李翠芳、师俊明、杨倩、田欢

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101100 北京市,首都医科大学附属北京友谊医院急诊

早期康复干预 血管介入 急性缺血性脑血管病 神经功能

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(13)
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