作业疗法联合早期肢体康复训练对高血压性脑出血偏瘫患者肢体功能恢复的影响

Effect of Occupational Therapy Combined with Early Limb Rehabilitation Training on Limb Function Recovery in Hemiplegia Patients with Hypertensive Intracerebral Hemorrhage

目的探讨作业疗法联合早期肢体康复训练在高血压性脑出血(HICH)偏瘫患者中的应用效果.方法选取2020年3月—2022年2月我院收治的94例HICH偏瘫患者,按随机数字表法分为两组,每组47例.对照组进行早期肢体康复训练,观察组在此基础上采用作业疗法,均持续治疗12周.对比两组的神经功能、肢体功能、日常生活能力及生存质量.结果治疗后,观察组的神经功能评分低于对照组,肢体功能、日常生活能力评分均高于对照组,组间差异有统计学意义(P<0.05).治疗后,观察组的生存质量评分为(202.36±12.74)分,高于对照组的(179.99±15.07)分,差异有统计学意义(P<0.05).结论作业疗法联合早期肢体康复训练能改善HICH偏瘫患者的神经功能,加快肢体功能恢复,进而提高生活质量.

Objective To explore the effect of occupational therapy combined with early limb rehabilitation training in hemiplegia patients with hypertensive intracerebral hemorrhage(HICH).Methods A total of 94 patients with HICH hemiplegia admitted to our hospital from March 2020 to February 2022 were selected and were divided into two groups according to the random number table method,with 47 cases in each group.The control group received early limb rehabilitation training,and the observation group received occupational therapy on this basis.Both groups were treated for 12 weeks.The neurological function,limb function,daily living ability and quality of life were compared between the two groups.Results After treatment,the scores of neurological function in the observation group were lower than those in the control group,and the scores of limb function and ability of daily living were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the quality of life score of the observation group was(202.36±12.74)points,which was higher than(179.99±15.07)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Occupational therapy combined with early limb rehabilitation training can improve the neurological function of HICH patients with hemiplegia,accelerate the recovery of limb function,and improve the quality of life.