Bobath疗法结合强化引导治疗对脑卒中后肢体运动功能障碍的疗效观察

Observation of the effect of Bobath therapy combined with intensive guided therapy on limb motor dysfunction after stroke

目的观察Bobath疗法结合强化引导治疗在脑卒中后肢体功能障碍的临床疗效。方法选取72例脑卒中后发生肢体运动功能障碍的患者,采用随机数字表法分为对照组和实验组各36例,对照组患者行Bobath治疗,实验组患者行Bobath治疗结合强化引导治疗,每天治疗1次,共治疗4周。于治疗前后对两组患者进行美国国立卫生院卒中量表评分(NIHSS)、简化Fugl-Meyer运动功能评测表评分(FMA)及日常生活活动能力评定(采用改良Barthel指数,MBI)。结果治疗前两组患者一般资料比较差异无统计学意义(P>0.05),NIHSS、FMA、MBI评分比较差异也无统计学意义(P>0.05)。治疗后两组患者NIHSS、FMA、MBI评分比较存在显著性差异(P<0.001)。结论Bobath疗法结合强化引导治疗可以降低脑卒中患者的神经缺损程度,改善患者的运动功能障碍,并能提高患者的日常生活活动能力进而提高患者的生活质量。

Objective To observe the clinical effect of Bobath therapy combined with intensive guided therapy in the treatment of limb dysfunction after stroke.Methods We selected 72 patients with limb movement dysfunction after stroke and divided them into a control group and an experiment group by random number table method,each group included 36 cases.Patients in the control group received Bobath therapy,and patients in the experimental group received Bobath treatment combined with intensive guided treatment,once a day for 4 weeks.Before and after treatment,patients in the two groups were given National Institute of Health stroke scale(NIHSS)assessment,simplified Fugl-Meyer motor function assessment(FMA)and activities of daily living assessment[using modified Barthel index(MBI)].Results Before treatment,there was no statistical difference in baseline data between the two groups(P>0.05),and there were also no statistical differences in NIHSS,FMA and MBI scores(P>0.05).There were statistically significant differences in NIHSS,FMA and MBI scores between the two groups after treatment(P<0.001).Conclusion Bobath therapy combined with intensive guided therapy can reduce the degree of nerve defects in stroke patients,improve the motor dysfunction of patients,and improve the ability of daily life activities and thus improve the patients quality of life.