康复治疗对脑血管病神经功能缺损患者的临床疗效分析

Analysis of the Clinical Effect of Rehabilitation Therapy on Patients with Neurological Deficits in Cerebrovascular Diseases

目的分析康复治疗对脑血管病神经功能缺损患者的临床疗效.方法选取2017年6月—2019年6月在该院进行治疗的110例脑血管病神经功能缺损患者为研究对象,利用随机数字表法分为康复组(n=55)与常规组(n=55),常规组采用常规治疗,康复组在常规组基础上采用三级康复治疗,对比两组治疗前、治疗1、3、6个月的神经功能缺损程度、运动功能以及日常生活活动能力.结果治疗1、3、6个月,两组的美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分均较治疗前显著下降,且康复组评分均低于常规组,组间差异有统计学意义(P<0.05).两组的Fugl-Meyer运动功能评定(Fulg-Meyev assessment,FMA)评分均较治疗前显著升高,且康复组评分均高于常规组,组间差异有统计学意义(P<0.05).两组的Barthel指数评分均较治疗前显著升高,且康复组评分均高于常规组,组间差异有统计学意义(P<0.05).结论临床中对脑血管病神经功能缺损患者开展三级康复治疗,能够有效改善患者的神经缺损程度,提升其日常生活能力,改善运动功能,提高生活质量.

Objective To analyze the clinical efficacy of rehabilitation therapy for patients with neurological deficits in cerebrovascular diseases.Methods A total of 110 patients with neurological deficits in cerebrovascular disease who were treated in the hospital from June 2017 to June 2019 were selected as the research objects,and they were divided into the rehabilitation group(n=55)and the conventional group(n=55)using a random number table method.The conventional group used conventional treatment,while the rehabilitation group used tertiary rehabilitation on the basis of the conventional group.The degree of neurological deficit,motor function and activities of daily living in the two groups before treatment,1,3,and 6 months of treatment were compared.Results At 1,3,and 6 months of treatment,the National Institutes of Health stroke scale(NIHSS)scores of the two groups were significantly lower than those before treatment,and the scores in the rehabilitation group were lower than those in the conventional group,and the differences between the groups were statistically significant(P<0.05).The Fugl-Meyer assessment(FMA)scores of the two groups were significantly higher than those before treatment,and the scores in the rehabilitation group were higher than those in the conventional group,and the differences between the groups were statistically significant(P<0.05).The Barthel index scores of the two groups were significantly higher than those before treatment,and the scores in the rehabilitation group were higher than those in the conventional group,the differences between the groups were statistically significant(P<0.05).Conclusion In clinical practice,three-level rehabilitation therapy for patients with neurological deficits in cerebrovascular diseases can effectively improve the patients'neurological deficits,improve their ability of daily living,motor functions and quality of life.