早期康复训练在高血压脑出血偏瘫患者中的应用效果研究

Investigation on the practical effect of early rehabilitation training on patients with hemiplegia after hypertensive cerebral hemorrhage

目的 探讨高血压脑出血偏瘫患者早期应用康复训练的临床疗效。方法 140例高血压脑出血偏瘫患者,随机分为对照组与观察组,各70例。对照组给予常规治疗及常规护理,观察组在常规治疗及护理基础上增加早期康复训练。观察比较两组患者干预前后日常生活能力量表(ADL)、Fugl-Meyer运动功能评价量表(FMI)、美国国立卫生研究院卒中量表(NIHSS)评分及干预后脑卒中影响量表(SIS)评分。结果 干预后,观察组ADL及FMI评分分别为(69.03±5.86)、(82.71±7.01)分均高于干预前的(38.71±4.73)、(40.96±3.76)分,对照组ADL及FMI评分分别为(56.93±4.71)、(66.74±7.17)分均高于干预前的(38.14±3.77)、(41.02±4.31)分,且观察组ADL及FMI评分高于对照组,差异有统计学意义(P<0.05)。干预后,观察组NIHSS评分为(9.23±3.01)分低于干预前的(21.01±2.73)分,对照组NIHSS评分为(12.73±3.15)分低于干预前的(20.96±2.12)分,且观察组NIHSS评分明显低于对照组,差异有统计学意义(P<0.05)。观察组行动评分(77.12±3.13)分、力量评分(78.56±3.56)分、手功能评分(59.77±3.01)分、情感交流评分(78.01±8.02)分、记忆及思维评分(77.35±3.11)分和总评分(391.32±21.17)分明显高于对照组的(68.01±3.79)、(65.25±5.03)、(46.93±3.31)、(68.74±3.86)、(63.69±4.01)、(328.05±20.12)分,差异有统计学意义(P<0.05)。结论 对高血压脑出血偏瘫患者应用早期康复训练,可有效促进患者神经功能恢复,提升患者生活能力及生活质量,对促进患者康复作用显著,建议临床广泛应用。

Objective To discuss the clinical efficacy of early rehabilitation training on patients with hemiplegia after hypertensive cerebral hemorrhage.Methods A total of 140 patients with hemiplegia after hypertensive cerebral hemorrhage were randomly divided into control group and observation group,with 70 cases in each group.The control group received conventional treatment and conventional nursing,and the observation group received early rehabilitation training on the basis of conventional treatment and nursing.Observation and comparison were made on activities of daily living scale(ADL)score,Fugl-Meyer index(FMI)score,National Institutes of Health stroke scale(NIHSS)score before and after intervention,and stroke impact scale(SIS)score after intervention between the two groups.Results After the intervention,ADL and FMI scores of the observation group were(69.03±5.86)and(82.71±7.01)points,which were higher than(38.71±4.73)and(40.96±3.76)points before the intervention;in the control group,ADL and FMI scores were(56.93±4.71)and(66.74±7.17)points,which were higher than(38.14±3.77)and(41.02±4.31)points before the intervention;ADL and FMI scores of the observation group were higher than those of the control group;all the differences were statistically significant(P<0.05).After the intervention,NIHSS score(9.23±3.01)points in the observation group was lower than(21.01±2.73)points before the intervention,and NIHSS score(12.73±3.15)points in the control group was lower than(20.96±2.12)points before the intervention;NIHSS score in the observation group was significantly lower than that in the control group;all the differences were statistically significant(P<0.05).The action score(77.12±3.13)points,strength score(78.56±3.56)points,hand function score(59.77±3.01)points,emotional communication score(78.01±8.02)points,memory and thinking score(77.35±3.11)points and total score(391.32±21.17)points in the observation group were significantly higher than(68.01±3.79),(65.25±5.03),(46.93±3.31),(68.74±3.86),(63.69±4.01),and(328.05±20.12)points of the control group,and the differences were statistically significant(P<0.05).Conclusion Early rehabilitation training for patients with hemiplegia after hypertensive cerebral hemorrhage can effectively promote the recovery of neurological function,improve the living ability and quality of life of patients,and play a significant role in promoting the rehabilitation of patients.It is suggested to be widely used in clinical practice.