双侧上肢训练联合强制性运动疗法治疗恢复期脑卒中患者的效果分析

Analysis of the Effect of Bilateral Upper Limb Training Combined with Compulsory Exercise Therapy in the Treatment of Patients with Stroke in Recovery Period

目的观察双侧上肢训练(bilateral arm training,BAT)联合强制性运动疗法(constraint-induced movement therapy,CIMT)对恢复期脑卒中患者的临床治疗效果。方法选取2019年1月—2020年9月该院收治的64例脑卒中恢复期患者为研究对象,采用掷硬币法将其分为两组,对照组33例,观察组31例。两组患者均采用常规康复治疗,在此基础上,对照组采用BAT治疗,观察组采用BAT联合CIMT治疗。对比两组患者的上肢运动功能和日常生活活动能力。结果治疗4周后、3个月后,两组患者的Fugl-Meyer运动功能评价量表(Fugl-Meyer assessment,FMA)评分、简易上肢功能检查量表(simple test for evaluating hand function,STEF)评分均高于各组治疗前,且观察组的FMA、STEF评分均高于对照组,组间差异有统计学意义(P<0.05)。治疗4周、3个月后,观察组的改良Barthel指数(modified Barthel index,MBI)评分分别为(80.55±11.32)分、(82.67±12.43)分,对照组的MBI评分分别为(72.42±14.50)分、(70.67±12.10)分,均高于各组治疗前,且观察组的MBI评分均高于对照组,组间差异有统计学意义(P<0.05)。结论BAT联合CIMT治疗恢复期脑卒中患者,能有效改善其上肢运动功能,提高患者日常生活活动能力,值得临床推广应用。

Objective To observe the clinical treatment effect of bilateral arm training(BAT)combined with constraintinduced movement therapy(CIMT)on convalescent stroke patients.Methods 64 cases of stroke recovery patients admitted to the hospital from January 2019 to September 2020 were selected for the study.They were divided into two groups according to the coin toss method,including 33 cases in the control group and 31 cases in the observation group.Both groups of patients were treated with conventional rehabilitation treatment.On this basis,the control group was treated with BAT,and the observation group was treated with BAT combined with CIMT.The upper limb motor function and activities of daily living of the two groups of patients were compared.Results After 4 weeks and 3 months of treatment,the Fugl-Meyer assessment(FMA)scores and the simple test for evaluating hand function(STEF)scores of the two groups of patients were higher than before treatment,and the FMA and STEF scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).At 4 weeks and 3 months of treatment,the modified Barthel index(MBI)scores of the observation group were(80.55±11.32)points and(82.67±12.43)points,and the MBI scores of the control group were(72.42±14.50)points and(70.67±12.10)points,respectively,which were higher than before treatment in each group,and the MBI scores of the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion BAT combined with CIMT in the treatment of patients with stroke in recovery period can effectively improve the motor function of upper limbs and improve the patients'activities of daily living.It is worthy of clinical application.