穴位按摩法配合康复训练对脑卒中单侧忽略患者的效果分析

发布时间：2018-01-03 15:26

本文关键词：穴位按摩法配合康复训练对脑卒中单侧忽略患者的效果分析　出处：《中国康复医学杂志》2017年09期 　论文类型：期刊论文

【摘要】：目的:探讨穴位按摩法配合康复训练对脑卒中单侧忽略患者康复的疗效。方法:对2015年10月—2016年9月在2所医院住院的脑卒中后偏瘫患者进行神经心理学评测,确定158例右大脑半球卒中后单侧空间忽略患者,随机分为两组:试验组79例和对照组79例;对照组给予传统的康复训练和康复指导,试验组除常规传统的康复训练和康复指导外由护士给予穴位按摩,并分别在治疗前及康复后8周对患者进行脑卒中单侧忽略评定及给予日常生活自理能力评定、Fugl-Meyer运动功能评定和简易精神状态检查,并比较。结果:康复8周后试验组单侧忽略的改善程度优于对照组(P0.05);两组患者治疗后经Barthel指数、FMA和MMSE评定,试验组恢复程度优于对照组,差异有显著性意义(P0.05)。结论:采用穴位按摩法配合康复训练可以有效地改善脑卒中患者单侧忽略程度,通过单侧忽略的改善可以更好地提高患者康复训练水平。
[Abstract]:Objective: to explore the effect of acupoint massage combined with rehabilitation training on the rehabilitation of stroke patients with unilateral neglect. Patients with hemiplegia after stroke in two hospitals from October 2015 to September 2016 were evaluated by neuropsychology. 158 patients with unilateral spatial neglect after stroke in the right hemisphere were randomly divided into two groups: experimental group (79 cases) and control group (79 cases); The control group was given traditional rehabilitation training and rehabilitation guidance, and the test group was given acupoint massage by nurses in addition to conventional rehabilitation training and rehabilitation guidance. The patients were evaluated for unilateral neglect before treatment and 8 weeks after rehabilitation. Fugl-Meyer motor function and simple mental state were assessed. Results: after 8 weeks of rehabilitation, the improvement of unilateral neglect in the trial group was better than that in the control group (P 0.05). After treatment, the patients in the two groups were evaluated by Barthel index and MMSE. The recovery degree of the trial group was better than that of the control group. Conclusion: acupoint massage combined with rehabilitation training can effectively improve the degree of unilateral neglect in stroke patients. The improvement of unilateral neglect can improve the rehabilitation training level of patients.
【作者单位】：锦州医科大学;重庆市北碚区中医院;
【分类号】：R493;R743.3
【正文快照】： 单侧忽略(unilateral neglect,ULN)亦称单侧空表1两组患者的一般资料(x±s,例,%)间忽略(unilateral spatial neglect,USN),是患者对病项目对照组试验组灶半球对侧空间刺激失去反应、应答及定向能力的功性别能障碍。表现为对大脑损伤灶对侧身体或空间物品男45(57.0)41(51.9)不

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