运动康复疗法对脑卒中后偏瘫患者的效果分析

Analysis of the Effect of Exercise Rehabilitation Therapy on Patients with Hemiplegia after Stroke

目的 探讨运动康复疗法对脑卒中后偏瘫患者的效果.方法 选取2019年9月—2020年9月在该院接受治疗的脑卒中后偏瘫患者86例为研究对象,按照入院编号将患者分为对照组(43例)和研究组(43例).对照组采用常规康复治疗,研究组在此基础上采用运动康复疗法.对两组患者的康复效果、治疗前后肢体功能、神经功能缺损程度、日常生活能力以及肌力分级情况进行对比分析.结果 研究组康复总有效率为93.02%,明显较对照组更高,差异有统计学意义(P<0.05).研究组治疗后的上肢运动功能评分(53.84±3.55)分、下肢运动功能评分(27.35±1.57)分均明显较对照组更高,组间差异有统计学意义(P<0.05).研究组治疗后的美国国立卫生研究院卒中量表评分(7.95±1.24)分、Barthel指数(75.67±4.54)分均明显较对照组更高,组间差异有统计学意义(P<0.05).与对照组相比,研究组治疗后肌力III~V级患者比例明显更高,差异有统计学意义(P<0.05).结论 将运动康复疗法应用于脑卒中后偏瘫患者的临床效果肯定,患者的日常生活能力得到有效提高,运动功能及肌力等级得到明显改善,值得推广.

Objective To explore the effect of exercise rehabilitation therapy on patients with hemiplegia after stroke.Methods 86 patients with post-stroke hemiplegia admitted to the hospital from September 2019 to September 2020 were selected as the research objects.According to the admission number,they were divided into a control group(43 cases)and a study group(43 cases).The control group was treated with conventional rehabilitation therapy,and the study group was treated with exercise rehabilitation therapy on this basis.The rehabilitation effects,limb function,the degree of neurological deficit,the ability of daily living before and after treatment,and the classification of muscle strength were compared between the two groups.Results The total effective rate of rehabilitation in the study group was 93.02%,which was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the upper limb motor function score(53.84±3.55)points and lower limb motor function score(27.35±1.57)points of the study group were significantly higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the scores of National Institute of Health stroke scale(7.95±1.24)points and Barthel index(75.67±4.54)points of the study group were significantly higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the proportion of patients with muscle strength grade III-V in the study group was significantly higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of exercise rehabilitation therapy for patients with post-stroke hemiplegia is affirmed.It can effectively improve the patients'ability of daily living and improve the patients'motor function and muscle strength level.It is worthy of promotion.