早期神经康复对急性脑卒中患者运动功能和日常生活能力的影响分析

Analysis of the impact of early neurological rehabilitation on motor function and daily living ability in patients with acute stroke

目的研究早期神经康复对急性脑卒中患者运动功能和日常生活能力的影响。方法选择南京医科大学附属南京医院在2019年1月-2022年12月期间收治的60例急性脑卒中患者作为研究对象,按照随机数字表法分组,对照组(n=30)采取常规康复治疗,观察组(n=30)采取早期神经康复治疗,比较两组患者治疗前后的生活自理能力(ADL)、运动能力评分(FMA);治疗前后上下肢功能、NIHSS评分;不良反应发生率。结果治疗前,两组患者的ADL评分、FMA评分比较,差异不显著(P>0.05),治疗后,观察组患者的ADL评分、FMA评分均优于对照组(P<0.05);治疗前,两组患者的上肢功能、下肢功能以及NIHSS评分比较,差异不显著(P>0.05),治疗后,观察组患者上肢功能、下肢功能以及NIHSS评分优于对照组(P<0.05);观察组不良反应发生率低于对照组(P<0.05)。结论急性脑卒中患者通过早期神经康复治疗,可有效提升患者的生活自理能力、运动能力以及预后效果,影响效果明显,值得推广。

Objective To study the effect of early neurorehabilitation on motor function and daily living ability in patients with acute stroke.Method Sixty patients with acute stroke admitted to our hospital from January 2019 to December 2022 were selected and divided into groups according to random number table method.The control group(n=30)received conventional rehabilitation treatment,while the observation group(n=30)received early neurological rehabilitation treatment.The self-care ability(ADL)and exercise ability score(FMA)before and after treatment were compared between the two groups.Upper and lower limb function and NIHSS score before and after treatment;incidence of adverse reactions.Results Before treatment,ADL score and FMA score of two groups were compared(P>0.05),after treatment,ADL score and FMA score of observation group were better than control group(P<0.05);before treatment,the upper limb function,lower limb function and NIHSS score of the two groups were compared(P>0.05).After treatment,the upper limb function,lower limb function and NIHSS score of the observation group were better than those of the control group(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group(P<0.05).Conclusion Early neurological rehabilitation therapy can effectively improve the self-care ability,exercise ability and prognostic effect of patients with acute cerebral apoplexy,and the effect is obvious,worthy of promotion.