康复训练联合行为学疗法对老年脑卒中偏瘫患者的影响

Effect of rehabilitation training combined with behavioral therapy on hemiplegic patients with stroke in the elderly

目的 观察康复训练联合行为学疗法对老年脑卒中偏瘫患者的影响。方法 选择2015-01—2016-01南阳市第九人民医院收治的104例老年脑卒中偏瘫患者,随机分为研究组与对照组,每组52例。对照组采用常规疗法与康复训练治疗,研究组在对照组的基础上加用行为学疗法。比较2组治疗前及治疗6个月末下肢运动功能和平衡功能(FMA)、神经功能缺损(CNS)及日常生活活动能力(Barthel指数)变化情况,观察2组患者住院期间并发症发生情况。结果 2组治疗前下肢FMA运动功能、FMA平衡功能评分差异无统计学意义(P>0.05);治疗6个月末,研究组下肢FMA运动功能、FMA平衡功能评分均高于对照组(P<0.05)。2组治疗前CNS与Barthel指数评分比较差异无统计学意义(P>0.05);治疗6个月末,研究组CNS评分低于对照组(P<0.05),研究组Barthel指数评分高于对照组(P<0.05)。研究组住院期间并发症发生率5.8%,明显低于对照组的13.5%(P<0.05)。结论 康复训练联合行为学疗法可有效改老年脑卒中偏瘫善患者下肢功能及神经功能,提高日常生活活动能力,且并发症少。

Objective To observe the effect of rehabilitation training combined with behavioral therapy on elderly patients with hemiplegia due to stroke. Methods Total of 104 elderly patients with hemiplegic hemiplegia admitted to the Ninth People'sHospital of Nanyang from January 2015 to January 2016 were randomly divided into study group and control group,with 52 cases in each group.The control group was treated with conventional therapy and rehabilitation training,and the study group added behavioral therapy to the control group.The changes of motor function and balance function (FMA),neurological deficit (CNS) and activities of daily living (Barthel index) were compared between the two groups before and at the end of 6 months.The complications of the two groups were observed during hospitalization. Results There were no significant differences in the FMA motor function and FMA balance function scores between the two groups before treatment ( P >0.05).At the end of 6 months,the FMA motor function and FMA balance function scores of the lower limbs of the study group were higher than those of the control group ( P <0.05).There was no significant difference in the scores of CNS and Barthel index between the two groups before treatment ( P >0.05).At the end of 6 months,the CNS score of the study group was lower than that of the control group ( P <0.05).The Barthel index of the study group was higher than that of the control group ( P <0.05).The complication rate of the study group during hospitalization was 5.8%,which was significantly lower than that of the control group (13.5%)( P <0.05). Conclusion Rehabilitation combined with behavioral therapy can effectively improve the lower limb function and nerve function of elderly patients with hemiplegia,improve the ability of daily living activities,and have fewer complications.