运动反馈训练联合穴位按摩在脑卒中后血管性痴呆患者中的效果研究

Application of motor feedback training combined with acupoint massage in patients with vascular dementia after stroke

目的为了改善脑卒中后血管性痴呆患者的认知功能,提高其肢体活动能力,保证患者的生活质量,本研究将运动反馈训练和穴位按摩进行融合,并应用到临床照护过程中,探究其应用效果和意义。方法选取2019年1月至2020年1月在深圳市中医院接受治疗的80例符合条件的脑卒中后血管性痴呆患者为研究对象,利用随机数字表法分为对照组及观察组,各40例。对照组男21例,女19例,年龄(53.22±6.87)岁;观察组男20例,女20例,年龄(52.78±6.23)岁。对照组予常规康复训练,观察组在对照组基础上给予运动反馈训练联合穴位按摩。比较干预前后两组患者的认知功能、肢体活动能力和生活质量方面的差异。结果干预后,观察组患者的认知功能评分为(22.18±2.33)分,高于对照组(19.33±1.98)分,差异有统计学意义(P<0.05)。干预后,观察组患者的主动关节活动度(AROM)、Fugl-Meyer评定量表(FMA)评分分别为(69.78±6.59)°、(45.70±7.62)分,均高于对照组(58.59±6.87)°、(35.47±7.33)分,差异均有统计学意义(均P<0.05)。干预后,观察组患者的生活质量评分为(67.27±13.14)分,高于对照组(58.33±13.97)分,差异有统计学意义(P<0.05)。结论运动反馈训练联合穴位按摩可以有效改善脑卒中后血管性痴呆患者的认知功能和肢体活动能力,还可以明显提高患者的生活质量。

Objective In order to improve the cognitive function of patients with vascular dementia after stroke,improve their physical activity ability,and ensure the quality of life of patients,this study integrated motor feedback training and acupoint massage,and applied it to the process of clinical care,to explore its application effect and significance.Methods A total of 80 patients with vascular dementia after stroke who were treated in Shenzhen Hospital of Traditional Chinese Medicine from January 2019 to January 2020 were randomly selected as the research objects and were divided into a control group and an observation group by the random number table method,with 40 cases in each group.There were 21 males and 19 females in the control group,with an age of(53.22±6.87)years old;in the observation group,there were 20 males and 20 females,with an age of(52.78±6.23)years old.The control group received routine rehabilitation training,and the observation group received motor feedback training combined with acupoint massage on the basis of the control group.The cognitive functions,physical activity abilities,and qualities of life of the two groups were compared before and after the intervention.Results After the intervention,the cognitive function score of the observation group was(22.18±2.33)points,which was higher than that of the control group[(19.33±1.98)points](P<0.05).After the intervention,the active range of motion(AROM)and Fugl-Meyer Assessment Scale(FMA)score in the observation group were(69.78±6.59)°and(45.70±7.62)points,respectively,which were higher than those in the control group[(58.59±6.87)°and(35.47±7.33)points](both P<0.05).After the intervention,the quality of life score of the observation group was(67.27±13.14)points,which was higher than that of the control group[(58.33±13.97)points](P<0.05).Conclusion Motor feedback training combined with acupoint massage can effectively improve the cognitive function and physical activity ability in patients with vascular dementia after stroke,and can significantly improve their quality of life.