30min动作观察训练联合康复治疗对早期脑卒中偏瘫患者抑郁量表和视觉模拟评分的影响

Effect of 30 min action observation training combined with rehabilitation therapy on R- VAS, P- VAS and BDI scores in early stroke patients with hemiplegia

目的 探讨30 min动作观察训练联合康复治疗对早期脑卒中偏瘫患者贝克抑郁量表（BDI）、休息状态视觉模拟评分（R－VAS）及被动运动视觉模拟评分（ P－VAS评分）的影响.方法 将2016年6月至2017年12月泰山医学院附属医院收治的早期脑卒中偏瘫患者86例作为研究对象,按照随机数字表法将患者分为对照组和联合组,每组43例.对照组给予常规康复治疗,联合组在对照组治疗基础上联合30 min动作观察训练.比较两组患者治疗前、治疗后1个月BDI、R－VAS及P－VAS评分的差异.结果 联合组治疗后P－VAS[（5.14 ±1.47）分]、R－VAS[（8.14 ±1.53）分]评分较治疗前均显著降低（t ＝11.42、10.31,均P＜0.01）,且联合组评分较对照组显著降低（t＝9.27、8.94,均P＜0.01）;而对照组治疗前后P－VAS、R－VAS评分的差异均无统计学意义（t＝0.78、1.69,均P＞0.05）.联合组与对照组患者治疗后BDI量表评分较治疗前均显著降低（t＝6.43、2.29,均P＜0.05）,且联合组评分较对照组显著降低（t＝4.44,P＜0.05）.结论 30 min动作观察训练联合康复治疗可有效缓解早期脑卒中偏瘫患者的疼痛等不适感,有助于加快上肢运动功能的恢复,因此具有良好的临床应用价值.

Objective To analyze the effect of 30 min action observation training combined with rehabilita-tion therapy on resting state visual analogue score （ R -VAS）, passive movement state visual analogue score （P-VAS） and Beck depression index （BDI） scores in early stroke patients with hemiplegia .Methods From June 2016 to December 2017,86 patients with early stroke and hemiplegia treated in the Affiliated Hospital of Tai ＇an Medical College were selected in the research .According to the random number table method , the patients were randomly divided into control group and combined group ,with 43 cases in each group.The control group was given routine rehabilitation treatment ,and the combined group was given 30 min action observation training on the basis of the control group.The differences of BDI,R-VAS and P-VAS were compared between the two groups before and after 1 month of treatment.Results The scores of P-VAS[（5.14 ±1.47）points]and R-VAS[（8.14 ±1.53）pionts] in the combined group were significantly lower than before treatment （t=11.42,10.31,all P〈0.01）,and the scores of the combined group were significantly lower than those of the control group （t=9.27,8.94,all P〈0.01）.The P-VAS and R -VAS scores in the control group after treatment showed no statistically significant differences compared with those before treatment（t =0.78,1.69,all P〉0.05）.After treatment,the BDI scale scores of the combined group and control group were significantly lower than those before treatment （t=6.43,2.29,all P〈0.05）, and the score of the combined group was significantly lower than that of the control group （t=4.44,P 〈0.05）. Conclusion The 30 min exercise observation and training combined with rehabilitation therapy can effectively relieve the pain and other discomfort of early stroke patients with hemiplegia ,and can accelerate the recovery of upper limb movement function,so it has good clinical value .