早期康复治疗对脑卒中后偏瘫患者运动功能的影响

Effect of Early Rehabilitation on Motor Function of Patients with Hemiplegia After Stroke

目的:探究早期康复治疗对脑卒中后偏瘫患者运动功能的影响。方法:选取我院2017年1月—2019年1月收治的70例脑卒中后偏瘫患者,根据随机数字表法,分为对照组和观察组各35例。两组均给予神经内科治疗,对照组在此基础上实施常规护理干预,观察组则于早期采取康复治疗措施。比较两组的运动功能评定包括:神经功能缺损评分(NIHSS)、运动功能评分(FMA)和日常生活能力指数(BI)。结果:在NIHSS评分和BI指数方面,两组干预前差异无统计学意义(P>0.05);两组干预后NIHSS评分低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组干预后BI指数高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前,两组上肢和下肢FMA评分比较,差异无统计学意义(P>0.05);干预后,两组上肢和下肢FMA评分均高于干预前,且观察组均高于对照组,差异有统计学意义(P<0.05)。结论:早期康复治疗的应用,可改善脑卒中后偏瘫患者神经功能缺损的症状,增强患者的运动功能和日常生活能力,值得推广应用。

Objective:To investigate the effect of early rehabilitation on motor function in patients with hemiplegia after stroke.Methods:Seventy patients with post-stroke hemiplegia admitted to our hospital from January 2017 to January 2019 were enrolled.According to the random number table method,35 patients were divided into the control group and the observation group.Both groups were treated with neurology,the control group was given routine nursing intervention,and the observation group was treated with rehabilitation therapy at an early stage.The motor function assessments of the two groups were compared:neurological deficit score(NIHSS),motor function score(FMA),and daily living ability index(BI).Results:In terms of NIHSS score and BI index,there was no significant difference between the two groups before intervention(P>0.05).The NIHSS scores of the two groups were lower than those before the intervention,and the observation group was lower than the control group.The difference was statistically significant(P<0.05);BI index after intervention was higher than that before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).Before the intervention,the FMA scores of the upper and lower limbs of the two groups were not significantly different(P>0.05).After the intervention,the FMA scores of the upper and lower limbs of the two groups were higher than those before the intervention,and the observation group was higher than the control group.The difference was statistical significance(P<0.05).Conclusion:The application of early rehabilitation therapy can improve the symptoms of neurological deficits in patients with hemiplegia after stroke,and enhance the motor function and daily living ability of patients,which is worthy of popularization and application.