神经康复治疗改善脑卒中偏瘫患者的运动功能和日常生活能力的疗效

发布时间：2018-01-20 15:06

本文关键词： 神经康复脑卒中偏瘫 Fugl-Meyer平衡评估表 Barthel指数　出处：《中国老年学杂志》2017年17期 　论文类型：期刊论文

【摘要】：目的分析神经康复治疗改善脑卒中偏瘫患者运动功能和日常生活能力的疗效。方法连续选择100例脑卒中后偏瘫患者,随机分成对照组和观察组各50例,对照组采用常规药物和基础康复训练,观察组同时进行神经康复治疗(包括神经发育疗法、脑功能重组技术和中医针灸、理疗等),采用Fugl-Meyer平衡评估表评估运动功能,Barthel指数评估日常生活能力。结果观察组1个月和3个月的Fugl-Meyer和Barthel得分均明显高于对照组(P0.05),3个月的两项得分均高于1个月(P0.05);对照组1个月和3个月的Fugl-Meyer和Barthel得分比较差异无统计学意义(P0.05)。结论神经康复治疗可进一步改善脑卒中偏瘫患者的运动功能和日常生活能力。
[Abstract]:Objective to analyze the effect of neurorehabilitation on improving motor function and daily living ability of hemiplegic patients with stroke. Methods 100 patients with hemiplegia after stroke were selected and randomly divided into two groups: control group (n = 50) and observation group (n = 50). The control group was treated with routine drugs and basic rehabilitation training, while the observation group was treated with nerve rehabilitation therapy (including nerve development therapy, brain function reorganization technique, acupuncture and moxibustion of traditional Chinese medicine, physiotherapy and so on). The motor function was evaluated by Fugl-Meyer balance assessment table. Results the scores of Fugl-Meyer and Barthel in the observation group were significantly higher than those in the control group at 1 and 3 months (P 0.05). The scores of the two items in 3 months were higher than that in 1 month (P 0.05). There was no significant difference in the scores of Fugl-Meyer and Barthel between 1 month and 3 months in the control group (P 0.05). Conclusion Neurorehabilitation therapy can further improve motor function and daily living ability of stroke hemiplegic patients.
【作者单位】：江苏省人民医院老年神经内科;
【基金】：国家自然科学基金青年基金(81100858) 江苏省项目高校自然科学研究(10KJB320008)
【分类号】：R493;R743.3
【正文快照】： 急性脑卒中常伴有肢体活动障碍、言语不利、情绪低落等。脑卒中后脑功能重建理论为早期神经康复治疗提供了基础[1]。大量的临床研究显示[2,3],早期适量的神经康复治疗可明显改善患者的运动和生活能力,对焦虑和抑郁情绪障碍也有较大缓解。随着神经康复理论的丰富和康复新技术的

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