康复干预在脑梗塞患者中的应用效果

Application Effect of Rehabilitation Intervention in Patients with Cerebral Infarction

目的探讨康复干预在脑梗塞患者中的应用效果.方法选择2018年3月—2020年2月收治的脑梗塞患者76例为研究对象,根据随机数字表法分为两组,各38例.对照组采用常规方法干预,观察组联合康复干预,干预4周后进行评估,比较两组认知功能、运动能力及日常生活能力、不良事件发生率.结果观察组干预4周后MMSE(27.53±2.42)分、定向(7.43±0.65)分、知觉(21.21±3.29)分、视觉运动组织(23.21±3.46)分、注意与集中(3.98±0.73)分与思维运作评分(16.45±1.21)分均高于对照组,组间差异均有统计学意义(P<0.05).观察组干预4周后NIHSS评分(6.48±0.71)分低于对照组,Fugl-Meyer量表(83.15±8.49)分、Barthel指数(15.79±1.22)分均高于对照组,组间差异均有统计学意义(P<0.05).观察组干预过程中呛咳、噎食、坠床发生率为2.63%,低于对照组的18.42%,差异有统计学意义(P<0.05).结论康复干预用于脑梗塞患者中能改善患者认知功能,提高患者日常生活能力,降低不良事件发生率,值得推广应用.

Objective To explore the effect of rehabilitation intervention in patients with cerebral infarction.Methods A total of 76 patients with cerebral infarction admitted from March 2018 to February 2020 were selected as subjects.They were divided into two groups according to the random number table method,with 38 cases in each group.The control group used conventional interventions,and the observation group combined rehabilitation interventions.After 4 weeks of intervention,the two groups'cognitive function,exercise ability,ability of daily living,and incidence of adverse events were compared.Results After 4 weeks of intervention,the observation group's MMSE(27.53±2.42)points,orientation(7.43±0.65)points,perception(21.21±3.29)points,visual motor organization(23.21±3.46)points,attention and concentration(3.98±0.73)points and thinking operation score(16.45±1.21)points were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After 4 weeks of intervention,the observation group's NIHSS score(6.48±0.71)points was lower than that of the control group,and the Fugl-Meyer scale(83.15±8.49)points and Barthel index(15.79±1.22)points were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of choking,choking,and falling from bed during the intervention in the observation group was 2.63%,which was lower than 18.42%in the control group,the difference was statistically significant(P<0.05).Conclusion Rehabilitation intervention in patients with cerebral infarction can improve the cognitive function of patients,improve the ability of daily life of patients,and reduce the incidence of adverse events.It is worthy of promotion and application.