虚拟视频下突发恐惧刺激同步辅助防御运动治疗脑梗死恢复期患者临床观察

Efficacy of sudden fear stimulus under virtual video synchronously assisted defense exercise therapy on patients with convalescence of cerebral infarction

目的探讨虚拟视频下突发恐惧刺激同步辅助防御运动治疗脑梗死恢复期患者的效果。方法纳入2019-01—2020-05廊坊市人民医院治疗的120例脑梗死恢复期患者,对照组和观察组各60例,对照组给予常规康复训练,观察组在对照组基础上予以虚拟视频下突发恐惧刺激同步辅助防御运动治疗,2组均干预3个月,对比2组认知和运动功能以及预后情况。结果干预前2组简易精神状态评价量表(MMSE)、洛文斯顿作业疗法认知量表(LOTCA)、肢体肌力分级、Fugl-Meyer评估量表(FMA)、功能性步行能力量表(FAC)、美国国立卫生研究院卒中量表(NIHSS)、改良Rankin评分量表(m RS)、ADL-Barthel指数评分比较均无显著差异(P>0.05);干预后观察组MMSE、LOTCA、FMA、FAC、ADL-Barthel指数评分分别为(24.52±1.96)分、(67.48±4.91)分、(54.22±5.90)分、(3.48±0.58)分、(74.55±8.16)分,均高于对照组的(22.49±2.03)分、(61.59±4.88)分、(48.69±6.05)分、(2.95±0.61)分、(67.43±7.91)分(P<0.05),肢体肌力分级优于对照组(P<0.05);NIHSS、mRS评分分别为(6.52±1.14)分、(1.78±0.34)分,均低于对照组的(7.49±1.21)分、(2.21±0.41)分(P<0.05)。结论虚拟视频下突发恐惧刺激同步辅助防御运动治疗可以促使脑梗死恢复期患者认知和运动功能恢复,改善神经功能,提高其日常生活能力及生活质量。

Objective To explore the efficacy of sudden fear stimulus under virtual vide simultaneously assisted defense exercise therapy on motor function and prognosis of patients with convalescence of cerebral infarction.Methods A total of 120 patients with convalescence of cerebral infarction who were treated in the People’s Hospital of Langfang were included between January 2019 and May 2020,with 60 cases in the control group and 60 cases in the observation group.The control group was given regular rehabilitation training while the observation group was treated with sudden fear stimulus under virtual video synchronously assisted defense exercise therapy on the basis of the control group,and both groups were intervened for 3 months.The cognitive function,motor function and prognosis were compared between the two groups.Results Before intervention,there were no significant differences in the scores of mini-mental status examination(MMSE),Loewenstein occupational therapy cognitive assessment(LOTCA),limb muscle strength classification,Fugl-Meyer assessment(FMA),functional ambulation category(FAC),National Institutes of Health stroke scale(NIHSS),modified Rankin Scale(mRS)and ADL-Barthel index between the two groups(P>0.05).After intervention,the scores of MMSE,LOTCA,FMA,FAC and ADL-Barthel index with(24.52±1.96)points,(67.48±4.91)points,(54.22±5.90)points,(3.48±0.58)points and(74.55±8.16)points in the observation group were significantly higher than(22.49±2.03)points,(61.59±4.88)points,(48.69±6.05)points,(2.95±0.61)points and(67.43±7.91)points in the control group(P<0.05).The scores of NIHSS and mRS with(6.52±1.14)points and(1.78±0.34)points were obviously lower than(7.49±1.21)points and(2.21±0.41)points in the control group(P<0.05).Conclusion patients with convalescence of cerebral infarction can promote the recovery of cognitive function and motor function,improve neurological function,and enhance the activity of daily living and quality of life of patients.