脑中风患者后遗症偏瘫早期康复治疗的临床效果

Clinical Effect of Early Rehabilitation Therapy for Hemiplegic Hemiplegia in Patients with Stroke

目的对脑中风患者后遗症偏瘫早期康复治疗的临床效果作探讨。方法研究中以双盲法将该院2016年1月—2017年12月收治的脑中风后遗症偏瘫患者100例均分为2组:选择常规方法治疗对照组50例患者,选择基于常规方法施以早期康复治疗观察组50例患者。采用汉密顿焦虑量表(HAMA)评价患者的焦虑程度,采用汉密顿抑郁量表(HAMD)评价患者的抑郁程度,采用Barthel指数评分评价患者的日常生活能力改善情况。NIHSS量表评价患者治疗前后的神经功能缺损程度。结果观察组治疗总有效率98.00%比对照组76.00%高(χ~2=10.6985,P<0.05);观察组患者干预后HAMA(15.63±3.94)分、HAMD(13.96±3.05)分、Barthel指数(82.01±5.63)分比对照组优,康复效果比对照组显著(t=21.993 2、28.359 7、14.029 4,P<0.05)。结论脑中风后遗症偏瘫患者接受早期康复治疗的效果更佳。

Objective To investigate the clinical effect of early rehabilitation of hemiplegic hemiplegia in patients withstroke. Methods One hundred patients with hemiplegia due to stroke sequelae admitted to the hospital from January2016 to December 2017 were divided into two groups by double-blind method： 50 patients in the control group wereselected by routine method, and the choice was based on routine methods. 50 patients in the observation group weretreated with early rehabilitation. The Hamilton anxiety scale （HAMA） was used to evaluate the degree of anxiety of thepatients. The Hamilton Depression Scale （HAMD） was used to evaluate the degree of depression. The Barthel index wasused to evaluate the improvement of daily living ability. The NIHSS scale was used to assess the degree of neurologicaldeficits in patients before and after treatment. Results The total effective rate of the observation group was 98.00%higher than that of the control group （76.00%0,（χ2=10.698 5, P〈0.05）. After the intervention, the patients in the ob-servation group had HAMA （15.63±3.94）points, HAMD （13.96±3.05）points, and Barthel index （82.01±5.63）points wassuperior to the control group, and the rehabilitation effect was significantly higher than that of the control group （t=21.993 2、28.359 7、14.029 4, P〈0.05）. Conclusion Hemiplegia patients with cerebral apoplexy have better results inearly rehabilitation.