首页|早期康复训练联合环境激发干预对脑卒中患者肢体康复进程及神经功能的影响

早期康复训练联合环境激发干预对脑卒中患者肢体康复进程及神经功能的影响

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目的 探讨早期康复训练联合环境激发干预对脑卒中患者肢体康复进程及神经功能的影响。方法 研究对象选取2022年10月至2024年4月郑州市第二人民医院收治的78例脑卒中康复期患者,根据干预方案不同分成常规组、联合组,各 39 例。比较两组患者的自理能力(巴氏指数评定量表)、康复分期评定(布氏康复分期评定表)、肢体平衡功能(Fugl-Meyer平衡功能量表)、神经功能[中文版美国国立卫生研究院卒中量表(NIHSS)]。结果 联合组患者出院前Barthel指数分布情况、Brunnstrom康复分期情况整体均优于常规组,差异有统计学意义(P<0。05)。两组入院时、入院 1 周、出院前的Fugl-Meyer评分均呈上升趋势,且联合组入院 1 周、出院前Fugl-Meyer评分均高于常规组,差异有统计学意义(P<0。05)。两组患者出院前NIHSS评分各维度评分均低于入院时,差异有统计学意义(P<0。05),且联合组低于常规组,差异有统计学意义(P<0。05)。结论 早期康复训练联合环境激发干预能有效促进脑卒中患者的肢体康复进程,改善患者的自理能力、肢体平衡功能和神经功能,值得临床应用。
Early Rehabilitation Training Combined with Environmental Stimulation Intervention on the Recovery Process of Limb Function and Neurological Function in Stroke Patients
Objective To explore the effects of early rehabilitation training combined with environmental stimulation intervention on the limb recovery process and neurological function in stroke patients.Methods A total of 78 patients in the rehabilitation phase of stroke who were admitted to Zhengzhou Second People's Hospital from October 2022 to April 2024 were selected for the study.According to different intervention plans,they were divided into a conventional group and a combined intervention group,each consisting of 39 cases.The two groups were compared regarding their self-care ability(Barthel Index),rehabilitation stage assessment(Brunnstrom Staging),limb balance function(Fugl-Meyer Balance Scale),and neurological function(Chinese version of National Institute of Health Stroke Scale).Results Before discharge,the Barthel Index distribution and Brunnstrom rehabilitation stage assessment in the combined group were significantly better than those in the conventional group,with statistically significant differences(P<0.05).The Fugl-Meyer scores for both groups showed an upward trend at admission,one week post-admission,and before discharge.Notably,the Fugl-Meyer scores for the combined group at one week post-admission and before discharge were significantly higher than those of the conventional group(P<0.05).Before discharge,the NIHSS scores for all dimensions in both groups were lower than those at admission,with statistically significant differences(P<0.05),and the combined group had lower scores than the conventional group,showing significance as well(P<0.05).Conclusion Early rehabilitation training combined with environmental stimulation intervention effectively promotes the limb recovery process in stroke patients,improving self-care ability,limb balance function,and neurological function.This approach is worthy of clinical application.

early rehabilitation trainingenvironmental stimulationstrokelimb recoveryneurological function

丰秋英、魏湛花、田亚黎

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郑州市第二人民医院 康复高压氧科,河南 郑州 450000

早期康复训练 环境激发 脑卒中 肢体康复 神经功能

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(12)