心肺康复对脑卒中患者运动功能恢复的效果

Effect of Cardiopulmonary Rehabilitation on Motor Function Recovery in Stroke Patients

目的探讨心肺康复对脑卒中患者运动功能恢复的影响。方法选取2018年2月至2019年2月,在中国中医科学院望京医院和北京博爱医院进行康复治疗的脑卒中恢复期患者100例,分为对照组(n=50)和观察组(n=50)。对照组采用常规康复治疗,观察组在此基础上给予心肺康复治疗。治疗前后,采用Fugl-Meyer评定量表(FMA)评价运动功能,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价焦虑和抑郁情绪,并比较肺功能。结果治疗后,两组FMA评分均升高(t> 2.459, P <0.05),观察组明显高于对照组(t=2.678, P=0.005);两组SAS和SDS评分均降低(t> 2.009, P <0.05),观察组明显低于对照组(t> 3.261, P <0.01);两组用力肺活量(FVC)、1秒钟用力肺活量(FEV1)和FEV1/FVC大多数升高(t> 2.249, P <0.05),观察组均高于对照组(t>2.147, P <0.05)。结论心肺康复能够进一步促进脑卒中患者运动功能恢复,改善心理状态,增加肺功能。

Objective To investigate the effect of cardiopulmonary rehabilitation on motor function recovery in stroke patients.Methods From February, 2018 to February, 2019, 100 stroke patients in convalescence stage were enrolled in this study.They were divided into control group(n = 50) and observation group(n = 50). The control group received routine rehabilitation, while the observation group received cardiopulmonary rehabilitation in addition. They were assessed with Fugl-Meyer Assessment(FMA), Self-rating Anxiety Scale(SAS), Self-rating Depression Scale(SAS) and pulmonary function test before and after treatment.Results After treatment, the scores of FMA increased in both groups(t > 2.459, P < 0.05), which were higher in the observation group than in the control group(t = 2.678, P = 0.005);the scores of SAS and SDS decreased in both groups(t > 2.009, P < 0.05), which were lower in the observation group than in the control group(t > 3.261, P <0.01);most of the forced vital capacity(FVC), the forced expiratory volume in 1 second(FEV1) and FEV1/FVC increased in both groups(t > 2.249, P < 0.05), which were higher in the observation group than in the control group(t > 2.147, P < 0.05).Conclusion Cardiopulmonary rehabilitation could further promote the recovery of motor function of stroke patients, and improve the emotion and pulmonary function.