巢元方导引法联合常规康复训练对脑卒中患者运动功能与认知功能的影响

Effects of Chaoyuanfang Guidance Method Combined with Routine Rehabilitation Training on Motor Function and Cognitive Function of Stroke Patients

目的:研究巢元方导引法联合常规康复训练对脑卒中患者运动功能与认知功能的影响。方法:选取120例脑卒中后遗症患者,按照随机数字表法分为观察组和对照组,每组60例。观察组实施常规康复训练联合巢元方导引法联合治疗,对照组仅采取常规康复训练治疗。对比两组临床疗效及干预前后运动功能、认知功能、康复意愿评分以及满意度。结果:观察组总有效率[91.67%(55/60)]高于对照组[78.33%(47/60)](P<0.05)。干预后,两组肢体运动功能(fugel-meyer,FMA)评定量表评分、日常生活能力(activities of daily living,ADL)评分均显著升高,差异有统计学意义(P<0.05),且观察组均高于对照组(P<0.05)。两组简易精神状态量表(mini mental state scale,MMSE)评分、痴呆量表(hastgawa dementia scale,HDS)评分均显著提高,差异有统计学意义(P<0.05),且观察组均高于对照组(P<0.05)。观察组对康复训练的配合程度和医务人员的依存性明显高于对照组(P<0.05);观察组患者满意度[93.44%(56/60)]明显高于对照组[72.13%(43/60)](P<0.05)。结论:巢元方导引法联合常规康复训练可改善脑卒中患者运动功能与认知功能,升高FMA、ADL评分,提高生命质量。

Objective:To study the effects of Chaoyuanfang guidance method and routine rehabilitation training on motor function and cognitive function of stroke patients.Methods:All 120 patients with sequela of stroke were chosen and divided into the observation group and the control group in light of random mumber table method,60 cases in each group,the observation group was treated by routine rehabilitation training and Chaoyuanfang guidance method,the control group only adopted routine rehabilitation training.To compare therapeutic effects,motor function,cognitive function,rehabilita-tion intention and satisfaction degree between both groups.Results:Total effective rate of the observation group was 91.67%(55/60),higher than 78.33%(47/60)of the control group(P<0.05);after the treatment,FMA scores and ADL scores of both groups increased notably,the difference had statistical meaning(P<0.05).FMA scores and ADL scores of the observation group were higher than these of the control group remarkably(P<0.05);MMSE and HDS of both groups lifted notably the difference had statistical meaning(P<0.05),MMSE and HDS of the observation group were higher than these of the control group significantly(P<0.05),the observation group was higher than the control group in the patients′cooperation degrees with rehabilitation training and medical staff′s compliance(P<0.05);the patients′satisfaction degree 93.44%(56/60)in the observation group was higher than that 72.13%(43/60)of the control group(P<0.05).Conclusion:Chaoyuanfang guidance method and routine rehabilitation training could notably improve motor function and cognitive function in stroke patients,raise FMA and ADL scores,and quality of life apparently.