脑卒中患者根据Brunnstrom分期采用针对性康复方案效果分析

Analysis of effect by targeted rehabilitation program on the basis of Brunnstrom staging for stroke patients

目的分析脑卒中患者根据Brunnstrom分期采用针对性康复方案的康复效果。方法 100例脑卒中后接受康复治疗的患者,随机分为观察组和对照组,各50例。观察组予以针对Brunnstrom分期的康复治疗,对照组予以常规康复治疗。对比两组患者治疗前后的Fugl-Meyer肢体评分、改良Barthel指数(MBI)、美国国立卫生院脑卒中评定表(NIHSS)评分和Brunnstrom分期。结果治疗10周后,观察组和对照组的Fugl-Meyer上肢、下肢评分及MBI评分和Brunnstrom分期显著优于治疗前(P<0.05);治疗10周后,观察组的Fugl-Meyer上肢、下肢评分及MBI评分和Brunnstrom分期显著优于对照组(P<0.05)。治疗10周后,观察组和对照组的NIHSS评分显著低于治疗前(P<0.05);治疗10周后,观察组的NIHSS评分显著低于对照组(P<0.05)。结论根据Brunnstrom分期对脑卒中患者采用针对性康复方案康复效果更佳,利于患者神经功能恢复。

Objective To analyze rehabilitation effect by targeted rehabilitation program on the basis of Brunnstrom staging for stroke patients. Methods A total of 100 patients receiving rehabilitation treatment after stroke were randomly divided into observation group and control group, with 50 cases in each group. The observation group received targeted rehabilitation program on the basis of Brunnstrom staging, and the control group received conventional rehabilitation treatment. Fugl-Meyer limb scores, modified Barthel index （MBI）, national institutes of health stroke scale （NIHSS） scores and Brunnstrom staging were compared between the two groups before and after treatment. Results After 10 weeks of treatment, both the observation group and the control group had much better Fugl-Meyer upper and lower limb scores, MBI scores and Brunnstrom staging than those before treatment （P〈0.05）. After 10 weeks of treatment, the observation group had obviously better Fugl- Meyer upper and lower limb scores, MBI scores and Brunnstrom staging than the control group （P〈0.05）. After 10 weeks of treatment, both the observation group and the control group had obviously lower NIHSS than that before treatment （P〈0.05）. After 10 weeks of treatment, the observation group had much lower NIHSS than the control group （P〈O.05）. Conclusion On the basis of Brunnstrom staging, implement of targeted rehabilitation program provides excellent effect for stroke patients, and this method is helpful for neural functional recovery.