早期应用运动疗法联合康复疗法对脑卒中偏瘫患者肢体功能恢复情况的影响

Effect of early application of exercise therapy combined with rehabilitation therapy on recovery of limb function in stroke patients with hemiplegia

目的观察早期应用运动疗法联合康复疗法对脑卒中偏瘫患者肢体功能恢复情况的影响。方法选取2016年12月~2018年4月我院收治的68例脑卒中偏瘫患者作为研究对象,按照随机信封法将其分为对照组(34例)与观察组(34例)。对照组患者采用康复疗法,观察组患者采用早期运动疗法联合康复疗法。比较两组患者的治疗总有效率、家属总满意度及治疗前后肢体运动功能、感觉功能、日常生活能力、神经功能缺损评分。结果观察组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。两组患者治疗前的上肢运动功能、下肢运动功能评分比较,差异无统计学意义(P>0.05);两组患者治疗后的上肢运动功能、下肢运动功能评分均高于治疗前,差异有统计学意义(P<0.05);观察组患者治疗后的上肢运动功能、下肢运动功能评分均高于对照组,差异有统计学意义(P<0.05)。两组患者治疗前的神经功能缺损、感觉功能、日常生活能力评分比较,差异无统计学意义(P>0.05);两组患者治疗后的神经功能缺损评分均低于治疗前,感觉功能、日常生活能力评分均高于治疗前,差异有统计学意义(P<0.05);观察组患者治疗后的神经功能缺损评分低于对照组,感觉功能、日常生活能力评分均高于对照组,差异有统计学意义(P<0.05)。观察组的家属总满意度高于对照组,差异有统计学意义(P<0.05)。结论脑卒中偏瘫患者早期应用运动疗法联合康复疗法,既可改善其肢体运功能、感觉功能及神经功能缺损情况,又可提高日常生活能力水平及家属满意度,提高临床疗效,效果显著,值得推广。

Objective To observe the effect of early application of exercise therapy combined with rehabilitation therapy on recovery of limb function in stroke patients with hemiplegia. Methods Sixty-eight stroke patients with hemiplegia admitted to our hospital from December 2016 to April 2018 were enrolled in the study. They were divided into control group (34 cases) and observation group (34 cases) according to the random envelope method. The patients in the control group were treated with rehabilitation therapy, and the patients in the observation group were treated with early exercise therapy combined with rehabilitation therapy. The total effective rate of treatment, total satisfaction of family members, and scores of limb motor function, sensory function, daily living ability and neurological deficit before and after treatment were compared between the two groups. Results The total effective rate of the treatment in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). There were no significant differences in the scores of upper limb motor function and lower limb motor function between the two groups before treatment (P>0.05). The scores of upper limb motor function and lower limb motor function after treatment in the two groups were higher than those before treatment, and the differences were statistically significant (P<0.05). The scores of upper limb motor function and lower limb motor function after treatment in the observation group were higher than those in the control group, and the differences were statistically significant (P<0.05). There were no significant differences in the scores of neurological deficit, sensory function and daily living ability between the two groups before treatment (P>0.05). The scores of neurological deficit in the two groups after treatment were lower than those before treatment, the scores of sensory function and daily living ability were higher than those before treatment, and the differences were statistically significant (P<0.05). The scores of neurological deficit in the observation group after treatment were lower than those in the control group, the scores of sensory function and daily living ability were higher than those in the control group, and the differences were statistically significant (P<0.05). The total satisfaction of the family members in the observation group was higher than that in the control group, and the difference was statistically significant (P<0.05). Conclusion Early application of exercise therapy combined with rehabilitation therapy in stroke patients with hemiplegia can not only improve limb function, sensory function, neurological deficit, but also improve daily living ability and family satisfaction, and improve clinical efficacy, with significant effect, which is worthy of promotion.