中国现代药物应用2024,Vol.18Issue(23) :165-168.DOI:10.14164/j.cnki.cn11-5581/r.2024.23.045

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

The clinical effect of exercise rehabilitation in the rehabilitation of stroke patients with pneumatectomy

闫苗苗 沈涛 柳青
中国现代药物应用2024,Vol.18Issue(23) :165-168.DOI:10.14164/j.cnki.cn11-5581/r.2024.23.045

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

The clinical effect of exercise rehabilitation in the rehabilitation of stroke patients with pneumatectomy

闫苗苗 1沈涛 1柳青1
扫码查看

作者信息

  • 1. 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
  • 折叠

摘要

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.

Abstract

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.

关键词

运动康复疗法/脑卒中/气管切开/吞咽功能

Key words

Exercise rehabilitation/Stroke/Pneumatectomy/Swallowing function

引用本文复制引用

出版年

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
段落导航相关论文