"互联网+"延伸治疗联合运动处方对脑梗死偏瘫患者康复的疗效
Clinical effect of"Internet+"extension therapy combined with exercise prescription on rehabilitation of cerebral infarction patients with hemiplegia
路美 1张莉 2崔愿霞 1李雪婧2
作者信息
- 1. 300162 天津,武警特色医学中心神经内科
- 2. 264000,武警烟台特勤疗养中心
- 折叠
摘要
目的 探讨"互联网+"延伸治疗联合运动处方对脑梗死偏瘫患者康复的疗效.方法 选取 2021-01 至 2022-01 在武警特色医学中心神经内科住院的脑梗死偏瘫患者 90 例,按照患者及家属意愿分为三组:运动处方组、"互联网+"延伸治疗组、联合治疗组,每组 30 例.对三组患者,分别于出院时、出院6 个月及12 个月,采用Fugl-Meyer运动功能评分(FMA)和Barthel指数评价治疗效果.结果 三组患者出院时Barthel指数、Fugl-Meyer运动功能评分无明显差异,出院 6 个月时,联合治疗组较其他两组评分较高,但差异无统计学意义.出院 12 个月时,联合治疗组患者Barthel指数为(71.17±8.48)分,Fugl-Meyer运动功能评分为(76.80±6.97)分,均明显高于其他两组,差异具有统计学意义(P<0.05).结论 运动处方联合"互联网+"延伸治疗可明显改善脑梗死致偏瘫患者运动功能,提高生活质量,且长期效果显著.
Abstract
Objective To explore the clinical effect of"Internet+"extension therapy combined with exercise prescription on rehabilitation of cerebral infarction patients with hemiplegia.Methods A total of 90 patients with cerebral infarction hemiplegia who were hospitalized in the Department of Neurology of Characteristics Medical Center of Chinese People's Armed Police Force from Janu-ary 2021 to January 2022 were selected and divided into three groups according to the wishes of patients and their families:exercise prescription group,"Internet+"extension treatment group,and combined treatment group,with 30 cases in each group.Fugl-Meyer Motor function score(FMA)and Barthel index were used to evaluate the therapeutic effect at discharge,6 months,and 12 months,re-spectively.Results There was no significant difference in Barthel index or Fugl-Meyer motor function score among the three groups at discharge.At 6 months after discharge,the combined treatment group had a higher score than the other two groups,but the difference was not statistically significant.At 12 months after discharge,Barthel index was(71.17±8.48),and the Fugl-Meyer motor function score was(76.80±6.97),which were significantly higher than those in the other two groups,and the difference was statistically signif-icant(P<0.05).Conclusions Exercise prescription combined with"Internet+"extension therapy can significantly improve the mo-tor function and the life quality of patients with hemiplegia caused by cerebral infarction,and the long-term effect is significant.
关键词
脑梗死/运动处方/"互联网+"延伸治疗/临床疗效Key words
cerebral infarction/exercise prescription/"Internet+"extension therapy/clinical effect引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据