神经肌肉本体促进技术在脑梗死患者的超早期康复中的疗效

Efficacy of PNF in early rehabilitation of patients with cerebral infarction

目的观察神经肌肉本体促进技术(PNF)在脑梗死患者的超早期康复中对患者肢体运动功能的影响。方法选择2011年12月至2013年12月在上海市第一人民医院住院的81例急性脑梗死患者,分为超早期康复组(40例)和常规治疗组(41例)。超早期康复组在常规药物治疗的基础上24h内对患者采用PNF技术进行康复治疗,常规治疗组则在药物治疗的基础上48h后进行PNF治疗,由专业康复治疗师进行康复训练,每次30min,每天1次,60d为1个疗程。采用Barthel指数(BI)、Fugl-Meyer运动功能评价法(FMA)及Berg评定治疗前后下肢功能和平衡功能。结果治疗60d后,两组患者FMA、BI及Berg评分均较治疗前明显提高(P<0.01);与常规治疗组比较,超早期康复组FMA、BI及Berg评分明显提高(P<0.05)。结论对急性脑梗死患者进行超早期PNF训练,有利于患者的肢体运动功能恢复,并可以提高其生活质量。

Objective To observe the efficacy of proprioceptive neuromuscular facilitation（PNF）on the limbs movement ability in early rehabilitation of the patients with cerebral infarction.Methods 81 inpatients with cerebral infarction in Shanghai Municipal First People′s Hospital from December 2011 to December 2013 were selected and divided into the ultra-early rehabilitation group（40cases）and the conventional treatment group（41cases）.The ultraearly rehabilitation group adopted the PNF technique to conduct the rehabilitation therapy within 24 hon the basis of routine medication treatment.the routine treatment group was performed the PNF therapy after 48 hon the basis of routine medication treatment.The professional rehabilitation therapist conducted the rehabilitation training,30 min each time,once daily,with 60 das a course of treatment.The Barthel index（BI）,Fug-l Meyer movement function assessment（FMA）and Berg balance scale were adopted to evaluate the lower limbs function and balance function Before and after treatment.Results After 60 dtreatment,the FMA,BI and Berg scores in the two groups were significantly increased（P〈0.05）;compared with the routine treatment group,The FMA,BI and BERG scores in the ultraearly rehabilitation group were obviously increased（P〈0.05）.Conclusion Conducting the ultra-early rehabilitation in the patients with acute cerebral infarction is conducive to the recovery of limb movement function and can also improve the quality of their life.