偏瘫患者行综合性神经康复疗法的效果研究

Effect of Comprehensive Neurological Rehabilitation Therapy in Patients with Hemiplegia

目的研究将综合性神经康复疗法实施在偏瘫患者中的临床效果。方法方便选取该院治疗的70例偏瘫患者开展临床研究,病例选于2016年2月—2018年4月,分组法按照患者入院编号单双数,一组入组35例,试验组实行常规康复疗法结合综合性神经康复疗法,对照组实行常规康复疗法,分析两组临床有效统计率,并评定两组治疗之前和治疗6个月之后汉密尔顿抑郁量表(HAMD)评分分值、神经功能缺损评分分值,对比两组治疗效果满意统计率。结果试验组临床有效统计率97.14%高于对照组数值指标80.00%,数据差异有统计学意义(χ^2=5.080,P<0.05);试验组治疗6个月之后汉密尔顿抑郁量表(HAMD)评分分值(4.26±1.10)分少于对照组数值指标(11.20±2.13)分,数据差异有统计学意义(t=17.126,P<0.05);试验组治疗6个月之后神经功能缺损评分分值(4.61±1.20)分少于对照组数值指标(7.90±2.35)分,数据差异有统计学意义(t=7.376,P<0.05);试验组治疗效果满意统计率(97.14%)显著高于对照组数值指标(77.14%),数据差异有统计学意义(χ^2=6.247,P<0.05)。结论对偏瘫患者开展综合性神经康复疗法展示较优效果,可以将偏瘫患者临床治疗有效状况明显提升,减少偏瘫患者抑郁状况,改善偏瘫患者的神经功能缺损,提升偏瘫患者的治疗效果满意状况,展示出重要临床治疗价值,存在进一步推广应用意义。

Objective To study the clinical effect of comprehensive neurological rehabilitation therapy in patients with hemiplegia.Methods 70 cases of hemiplegia patients treated in our hospital were studied.The cases were convenient selected from February 2016 to April 2018.The grouping method was based on the number of patients admitted to the hospital,and a group was enrolled in 35 cases.The experimental group performed routine rehabilitation.Therapy combined with comprehensive neurological rehabilitation therapy,the control group received routine rehabilitation therapy,the clinical effective statistical rate of the two groups was analyzed,and the Hamilton Depression Rating Scale(HAMD)score and neurological deficit score were evaluated before and after 6 months of treatment.Scores were compared to compare the statistical success rates of the two groups.Results The clinical effective statistical rate of the experimental group(97.14%)was higher than that of the control group(80.00%),which showed statistical significance(χ2=5.080,P<0.05);Hamilton depression in the experimental group after 6 months of treatment score of the HAMD score(4.26±1.10)points was lower than that of the control group(11.20±2.13)points,which showed statistical significance(t=17.126,P<0.05).After 6 months of treatment in the experimental group,the score of neurological deficit(4.61±1.20)points was lower than that of the control group(7.90±2.35)points,which showed statistical significance(t=7.376,P<0.05).The satisfactory statistical rate of treatment in the experimental group(97.14%)was significantly higher than the control group's numerical index(77.14%),reflecting the statistical significance of the data test(χ^2=6.247,P<0.05).Conclusion The comprehensive neuro-rehabilitation therapy for patients with hemiplegia can show the superior effect of clinical treatment,reduce the depression of hemiplegia patients,improve the neurological deficit of hemiplegia patients,and improve the satisfactory treatment effect of hemiplegia patients.It demonstrates the value of important clinical treatment and has the significance of further promotion and application.