首页|运动康复疗法应用在脑卒中气切患者康复治疗中的临床效果

运动康复疗法应用在脑卒中气切患者康复治疗中的临床效果

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目的 探讨运动康复疗法在脑卒中气管切开(气切)患者康复治疗中的应用效果.方法 选取83例脑卒中气切患者,按照随机数字表法分为对照组(n=41,给予常规治疗+常规护理干预)和观察组(n=42,在对照组基础上应用运动康复疗法干预).对比两组患者的拔管时间、拔管成功率、吞咽功能[功能性经口摄食评分量表(FOIS)评分]及运动功能[Fugl-Meyer运动功能评定量表(FMA)评分].结果 观察组拔管时间(15.34±3.79)d短于对照组的(17.87±4.21)d,拔管成功率85.71% 高于对照组的65.85%(P<0.05).干预7、14 d后,观察组患者FOIS评分分别为(2.61±0.45)、(3.09±0.62)分,均高于对照组的(2.14±0.36)、(2.76±0.48)分(P<0.05).干预后,观察组患者FMA评分(56.22±9.64)分高于对照组的(49.47±8.25)分(P<0.05).结论 脑卒中气切患者应用运动康复疗法可有效缩短拔管时间,提升拔管成功率,显著改善患者的吞咽功能和运动功能.
The clinical effect of exercise rehabilitation in the rehabilitation of stroke patients with pneumatectomy
Objective To explore the practical effect of exercise rehabilitation in the rehabilitation of stroke patients with pneumatectomy. Methods 83 stroke patients with pneumatectomy were selected and divided into a control group (n=41,conventional treatment+conventional nursing intervention) and an observation group (n=42,exercise rehabilitation intervention on the basis of the control group) according to the random numerical table. The extubation time,success rate of extubation,swallowing function[functional oral intake scale (FOIS) score]and motor function[Fugl-Meyer Assessment Scale (FMA) score]of the two groups were compared. Results The observation group had shorter extubation time of (15.34±3.79) d than (17.87±4.21) d in the control group;the observation group had success rate of extubation of 85.71%,which was higher than 65.85% in the control group (P<0.05). After 7 and 14 d of intervention,the FOIS scores of the observation group were (2.61±0.45) and (3.09±0.62) points,which were higher than (2.14±0.36) and (2.76±0.48) points of the control group (P<0.05). After intervention,the FMA score of (56.22±9.64) points in the observation group was higher than (49.47±8.25) points in the control group (P<0.05). Conclusion The application of exercise rehabilitation can effectively shorten the extubation time,increase the success rate of extubation,and significantly improve the swallowing function and motor function of the patients.

Exercise rehabilitationStrokePneumatectomySwallowing function

闫苗苗、沈涛、柳青

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233000 上海市第一人民医院蚌埠医院(蚌埠医科大学第二附属医院)急诊内科

运动康复疗法 脑卒中 气管切开 吞咽功能

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(23)