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多感官刺激在脑梗死偏瘫失语患者中的应用效果

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目的:观察多感官刺激在脑梗死偏瘫失语患者中的应用效果.方法:选取 2021 年 5 月至 2023 年 1 月该院收治的 64 例脑梗死偏瘫失语患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各 32 例.对照组实施常规康复训练,研究组在对照组基础上进行多感官刺激,比较两组干预前后肢体功能[Fugl-Meyer评定量表(FMA)]、语言功能[汉语失语检查表(ABC)]及神经功能[美国国立卫生研究院卒中量表(NIHSS)]评分.结果:护理后,两组上、下肢各项FMA评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);两组ABC评分均高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05);两组NIHSS评分均低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05).结论:多感官刺激联合常规康复训练应用于脑梗死偏瘫失语患者,可提高肢体功能,改善语言功能和神经功能,效果优于单纯常规康复训练.
Application effects of Multisensory stimulating in patients with cerebral infarction hemiplegia aphasia
Objective:To observe application effects of multisensory stimulating in patients with cerebral infarction hemiplegia aphasia.Methods:A prospective study was conducted on 64 patients with cerebral infarction hemiplegia aphasia admitted to this hospital from May 2021 to January 2023.According to the random number table method,they were divided into control group and study group,32 cases in each group.The control group received routine rehabilitation training,while the study group received stimulating nursing on the basis of that of the control group.The scores of limb function[Fugl-Meyer assessment(FMA)],language function[Chinese aphasia checklist(ABC)]and neurological function[National Institutes of Health stroke scale(NIHSS)]were compared between the two groups before and after the intervention.Results:After the intervention,the FMA scores of the upper and lower limbs of the two groups were higher than those before the intervention,those in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The ABC scores of the two groups were higher than those before the intervention,that in the study group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,the NIHSS scores of the two groups were lower than those before the intervention,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Multisensory stimulating combined with routine rehabilitation training can improve the limb function,the language function and the neurological function in the patients with cerebral infarction hemiplegia aphasia.Moreover,it is superior to single routine rehabilitation training.

Multisensory stimulatingRoutine rehabilitation trainingCerebral infarctionHemiplegiaAphasiaLimb functionLanguage function

刘南南

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周口市中心医院康复医学科,河南 周口 466000

多感官刺激 常规康复训练 脑梗死 偏瘫 失语 肢体功能 语言功能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(9)
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