穴位按摩法配合康复训练对脑卒中单侧忽略患者的效果评价
发布时间：2018-12-14 14:31
【摘要】：目的探讨穴位按摩法配合常规康复训练对脑卒中单侧忽略患者的效果,讨论其可能的机制,并通过实践验证前人理论,为临床单侧忽略患者的康复治疗护理方法提供参考依据。方法根据文献资料,按照脑卒中单侧忽略诊断标准对2015年3月-2016年12月辽宁省三所三甲医院康复科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纳入研究,采用半随机抽样方法分为两组:实验组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,实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8周后对患者进行USN评定及给予Bathel指数评分(BI)、Fugl-Meyer运动功能评定(FMA)和简易精神状态检查(MMSE),并比较两组治疗效果。采用SPSS17.0软件进行统计学分析,计量资料用均数标准差((X|-)±S)来表示,采用t检验来进行比较,计数资料比较采用X2检验,P㩳0.05为差异有统计学意义。结果1、8周康复治疗后,给予对照组患者USN评定,USN评定结果,二等分线段和临摹实验评定有统计学意义(P0.05);给予Bathel指数评分(BI)、Fugl-Meyer运动功能评定(FMA)和简易精神状态检查(MMSE),各项评分较治疗前均有统计学意义(P0.05)。2、8周康复治疗后,给予实验组患者USN评定,USN评定结果,二等分线段,划削实验,画钟实验和临摹实验评定均有统计学意义(P0.05);给予Bathel指数评分(BI)、Fugl-Meyer运动功能评定(FMA)和简易精神状态检查(MMSE),各项评分较治疗前均有统计学意义(P0.05)。3、8周康复治疗后,两组间比较,实验组USN评定恢复程度优于对照组,有统计学意义(P0.05);实验组Bathel指数评定(BI)、Fugl-Meyer运动功能评定(FMA)和简易精神状态检查(MMSE)评定恢复程度优于对照组,有统计学意义(P0.05)。结论1、穴位按摩法配合康复训练8周后,能有效的改善脑卒中患者单侧忽略程度,并且改善程度明显强于传统康复治疗;2、穴位按摩法配合康复训练8周后能显著改善患者运动功能、日常生活活动能力和认知水平,改善程度明显强于传统康复治疗。
[Abstract]:Objective to explore the effect of acupoint massage combined with routine rehabilitation training on stroke patients with unilateral neglect, discuss its possible mechanism, and verify the previous theories through practice, and provide reference for the nursing methods of clinical unilateral neglect patients. Methods according to the data of literature and according to the criteria of unilateral neglect diagnosis of stroke, neuropsychological evaluation was performed on the patients with hemiplegia after stroke in the rehabilitation department of three Grade A hospitals in Liaoning Province from March 2015 to December 2016. One hundred and fifty-eight patients with unilateral spatial neglect after stroke in the right hemisphere were selected and divided into two groups by semi-random sampling: experimental group (79 cases) and control group (79 cases); The control group was given traditional rehabilitation training and rehabilitation guidance, and the experimental group was given acupoint massage by nurses in addition to conventional rehabilitation training and rehabilitation guidance. The patients were evaluated with USN before treatment and 8 weeks after rehabilitation. The patients were evaluated with Bathel index (BI), Fugl-Meyer motor function (FMA) and simple mental state (MMSE), respectively and the therapeutic effects were compared between the two groups. The statistical analysis was carried out by SPSS17.0 software. The measurement data were expressed by the mean standard deviation (X-卤S), the t test was used to compare the count data, and the X2 test was used to compare the count data, and the difference was statistically significant. Results 1After rehabilitation for 8 weeks, the patients in the control group were given USN evaluation, USN evaluation results, secondary shunt segment and copying experiment evaluation (P0.05); The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks of rehabilitation, the patients in the experimental group were assessed with USN. The results of USN evaluation, second-grade shunt section, cutting experiment, clock drawing experiment and copying experiment all had statistical significance (P0.05). The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and simple mental state examination (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks rehabilitation treatment, there was a significant difference between the two groups. The degree of USN recovery in the experimental group was better than that in the control group (P0.05). The recovery degree of Bathel index in experimental group was better than that in control group in evaluating (BI), Fugl-Meyer motor function (FMA) and simple mental state examination (MMSE) (P0.05). Conclusion 1. Acupoint massage combined with rehabilitation training for 8 weeks can effectively improve the degree of unilateral neglect in stroke patients, and the improvement degree is obviously stronger than that of traditional rehabilitation therapy. 2. Acupoint massage combined with rehabilitation training for 8 weeks could significantly improve patients' motor function, activity of daily life and cognitive level, and the degree of improvement was obviously stronger than that of traditional rehabilitation therapy.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3
本文编号：2378763
[Abstract]:Objective to explore the effect of acupoint massage combined with routine rehabilitation training on stroke patients with unilateral neglect, discuss its possible mechanism, and verify the previous theories through practice, and provide reference for the nursing methods of clinical unilateral neglect patients. Methods according to the data of literature and according to the criteria of unilateral neglect diagnosis of stroke, neuropsychological evaluation was performed on the patients with hemiplegia after stroke in the rehabilitation department of three Grade A hospitals in Liaoning Province from March 2015 to December 2016. One hundred and fifty-eight patients with unilateral spatial neglect after stroke in the right hemisphere were selected and divided into two groups by semi-random sampling: experimental group (79 cases) and control group (79 cases); The control group was given traditional rehabilitation training and rehabilitation guidance, and the experimental group was given acupoint massage by nurses in addition to conventional rehabilitation training and rehabilitation guidance. The patients were evaluated with USN before treatment and 8 weeks after rehabilitation. The patients were evaluated with Bathel index (BI), Fugl-Meyer motor function (FMA) and simple mental state (MMSE), respectively and the therapeutic effects were compared between the two groups. The statistical analysis was carried out by SPSS17.0 software. The measurement data were expressed by the mean standard deviation (X-卤S), the t test was used to compare the count data, and the X2 test was used to compare the count data, and the difference was statistically significant. Results 1After rehabilitation for 8 weeks, the patients in the control group were given USN evaluation, USN evaluation results, secondary shunt segment and copying experiment evaluation (P0.05); The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks of rehabilitation, the patients in the experimental group were assessed with USN. The results of USN evaluation, second-grade shunt section, cutting experiment, clock drawing experiment and copying experiment all had statistical significance (P0.05). The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and simple mental state examination (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks rehabilitation treatment, there was a significant difference between the two groups. The degree of USN recovery in the experimental group was better than that in the control group (P0.05). The recovery degree of Bathel index in experimental group was better than that in control group in evaluating (BI), Fugl-Meyer motor function (FMA) and simple mental state examination (MMSE) (P0.05). Conclusion 1. Acupoint massage combined with rehabilitation training for 8 weeks can effectively improve the degree of unilateral neglect in stroke patients, and the improvement degree is obviously stronger than that of traditional rehabilitation therapy. 2. Acupoint massage combined with rehabilitation training for 8 weeks could significantly improve patients' motor function, activity of daily life and cognitive level, and the degree of improvement was obviously stronger than that of traditional rehabilitation therapy.
【学位授予单位】：锦州医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3
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