首页|72h心电监护下头部留置揿针协同康复训练在老年脑梗死后功能障碍患者中的应用

72h心电监护下头部留置揿针协同康复训练在老年脑梗死后功能障碍患者中的应用

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目的:探讨 72 h心电监护下头部留置揿针协同康复训练在老年脑梗死后功能障碍患者中的应用效果.方法:选取江西省第五人民医院 2021 年 8 月—2022 年 8 月收治的 120 例老年脑梗死后功能障碍患者,用随机数字表法分为对照组、观察1组、观察2组,各40例.对照组实施康复训练,观察1组实施头部留置揿针协同康复训练,观察 2 组实施 72 h心电监护下头部留置揿针协同康复训练.对比三组认知功能[蒙特利尔认知评估量表(MoCA)]、神经功能[美国国立卫生研究院卒中量表(NIHSS)]、上肢运动功能[Fugl-Meyer评估表(FMA)]、日常生活活动能力[改良Barthel指数(MBI)]及不良事件发生情况.结果:三组干预后MoCA、FMA、MBI评分均较干预前更高,NIHSS评分均较干预前更低,且观察 1 组、观察 2 组MoCA、FMA、MBI评分均较对照组更高,NIHSS评分均较对照组更低,差异均有统计学意义(P<0.05);观察 2 组不良事件总发生率(2.50%)较观察 1 组(20.00%)、对照组(22.50%)低,差异均有统计学意义(P<0.05).结论:老年脑梗死后功能障碍患者采用 72 h心电监护下头部留置揿针协同康复训练干预可提高认知功能,改善神经功能,提升肢体功能与日常生活活动能力,且可减少不良事件发生.
Application of Head Indwelling Press-needle Combined with Rehabilitation Training under 72 h ECG Monitoring in Elderly Patients with Dysfunction after Cerebral Infarction
Objective:To investigate the application effect of head indwelling press-needle combined with rehabilitation training under 72 h ECG monitoring in elderly patients with dysfunction after cerebral infarction.Method:A total of 120 elderly patients with dysfunction after cerebral infarction treated in Jiangxi Fifth People's Hospital from August 2021 to August 2022 were selected and divided into control group,observation 1 group and observation 2 group according to random number table method,with 40 cases in each group.The control group was given rehabilitation training,observation 1 group was given head indwelling press-needle combined with rehabilitation training,observation 2 group was given head indwelling press-needle combined with rehabilitation training under 72 h ECG monitoring.Cognitive function[Montreal cognitive assessment(MoCA)],neurological function[national institutes of health stroke scale(NIHSS)],upper limb motor function[Fugl-Meyer assessment(FMA)],daily living activity[modified Barthel index(MBI)]and adverse events were compared among the three groups.Result:After intervention,MoCA,FMA and MBI scores in three groups were higher than those before intervention,and NIHSS scores in three groups were lower than those before intervention,and MoCA,FMA and MBI scores in observation 1 group and observation 2 group were higher than those in control group,and NIHSS scores in observation 1 group and observation 2 group were lower than that in control group,the differences were statistically significant(P<0.05).The total incidence of adverse events in observation 2 group(2.50%)was lower than those in observation 1 group(20.00%)and control group(22.50%),the differences were statistically significant(P<0.05).Conclusion:The intervention of head indwelling press-needle combined with rehabilitation training under 72 h ECG monitoring in elderly patients with dysfunction after cerebral infarction can improve cognitive function,improve neurological function,enhance limb function and daily living ability,and reduce adverse events.

Cerebral infarctionECG monitoringPress-needleRehabilitation trainingCognitive functionNeurological functionUpper limb function

邱婷、易达松

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江西省第五人民医院内科 江西 南昌 330046

南昌大学第一附属医院心血管内科 江西 南昌 330019

脑梗死 心电监护 揿针 康复训练 认知功能 神经功能 上肢功能

江西省卫生健康委科技计划项目

202311093

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(2)
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