卒中偏瘫患者在中频脉冲治疗仪基础上落实早期康复锻炼的效果

Effect of early rehabilitation exercise based on intermediate frequency pulse therapeutic apparatus for stroke patients with hemiplegia

目的探讨卒中偏瘫患者开展中频脉冲治疗同时配合早期康复锻炼的临床价值及康复治疗效果。方法选取高州市人民医院2020年3月至2021年3月收治的卒中偏瘫患者80例为研究对象,根据随机数字表法分为观察组与对照组,各40例。对照组患者中,男24例,女16例,年龄(62.63±4.05)岁,仅接受中频脉冲治疗。观察组患者中,男26例,女14例,年龄(62.89±4.42)岁,应用中频脉冲治疗仪+早期康复锻炼(心理康复、肢体功能康复锻炼、日常生活能力训练、肌肉与关节被动训练、主动训练等,并配合针灸)。对比两组临床康复效果,结果采用χ^(2)检验、t检验。结果两组治疗后神经功能缺损评分均低于同组治疗前,且观察组[(10.54±3.02)分]明显低于对照组[(15.71±4.32)分],差异有统计学意义(t=6.203,P<0.001);观察组治疗后日常生活活动能力评分为(68.54±6.02)分、运动功能评分为(60.81±5.02)分,对照组分别为(61.71±6.32)分、(55.42±4.27)分,观察组明显高于对照组(t=4.949、5.172,均P<0.001);观察组生活质量各项评分均显著高于对照组,差异均有统计学意义(均P<0.05);观察组患者满意度为95.00%(38/40),高于对照组的80.00%(32/40),差异有统计学意义(χ^(2)=4.114,P=0.042)。结论在中频脉冲治疗仪治疗卒中偏患者过程中,开展早期康复锻炼,不仅有利于患者神经功能缺损的改善,同时可显著提高其运动功能及日常生活能力,从而取得理想的康复效果。

Objective To explore the clinical value and rehabilitation effect of intermediate frequency pulse therapy and early rehabilitation exercise for stroke patients with hemiplegia.Methods Eighty stroke patients with hemiplegia treated at Gaozhou People's Hospital from March 2020 to March 2021 were selected as the study objects,and were divided into an observation group and a control group by the random number table method,with 40 cases in each group.There were 24 males and 16 females in the control group,and they were(62.89±4.42)years old.There were 26 males and 14 females in the observation group,and they were(62.63±4.05)years old.The control group only took intermediate frequency pulse therapy,and the observation group were treated by intermediate frequency pulse therapeutic apparatus and acupuncture and did early rehabilitation exercise,including psychological rehabilitation,limb function rehabilitation exercise,daily living ability training,passive muscle and joint training,active training,etc.The clinical rehabilitation effects were compared between the two groups.χ^(2) and t tests were applied.Results The neurological deficit scores(National Institute Health Stroke Scale,NIHSS)after the treatment in the two groups were lower than those before treatment in the same group,and the NIHSS score in the observation group was significantly lower than that in the control group[(10.54±3.02)vs.(15.71±4.32)],with a statistical difference(t=6.203,P<0.001).After the treatment,the scores of activity of daily living and motor function were(68.54±6.02)and(60.81±5.02)in the observation group,and were(61.71±6.32)and(55.42±4.27)in the control group(t=4.949 and 5.172;both P<0.001).The scores of quality of life in the observation group were significantly higher than those in the control group,with statistical differences(all P<0.05).The patient satisfaction in the observation group was higher than that in the control group[95.00%(38/40)vs.80.00%(32/40)],with a statistical difference(χ^(2)=4.114,P=0.042).Conclusion During the treatment of stroke patients by intermediate frequency pulse therapeutic apparatus,early rehabilitation exercise can significantly improve their neurological deficits,motor function,and ability of daily living,and achieves an ideal rehabilitation effect.