膈肌训练对脑卒中后疲劳患者运动能力的影响研究

Effects of invigorating Qi and removing stasis combined with diaphragmatic muscle training on recovery of motor function and motor control ability in patients with post-stroke fatigue

目的:探讨脑卒中后疲劳患者采用益气化瘀法配合膈肌训练对其运动功能及运动控制能力恢复的影响。方法:选取86例脑卒中后疲劳患者,将其随机分为两组,对照组采用常规康复训练,在此基础上,观察组加用益气化瘀法配合膈肌训练,比较两组患者治疗前后疲劳严重程度、运动功能水平、运动控制能力水平及中医症状积分水平。结果:治疗前,两组疲劳严重程度量表(Fatigue Severity Scale,FSS)、Fugl-Meyer运动功能评定量表(Fugl-Meyer Assessment,FMA)、协同收缩率(Co-contraction Ratio,CCR)及中医症状积分等指标水平差异无统计学意义(P>0.05),治疗后,与对照组比较,观察组FSS评分与中医症状积分明显更低,FMA、CCR等指标明显更高(P<0.05)。结论:对脑卒中后疲劳患者采用益气化瘀法配合膈肌训练可有效缓解患者疲劳及各项临床症状,改善运动功能,促进运动控制能力的恢复,具有较高的临床推广价值。

Objective:To investigate the effects of invigorating Qi and removing stasis combined with diaphragmatic muscle training on the recovery of motor function and motor control ability in patients with post-stroke fatigue.Methods:A total of 86 patients with post-stroke fatigue were selected and randomly divided into two groups.The control group received routine rehabilitation training.On this basis,the observation group was supplemented with invigorating Qi and removing stasis combined with diaphragatic muscle training.Results:Before treatment,there was no significant difference in the levels of FSS,FMA,CCR and other indicators between the two groups(P>0.05).After treatment,compared with the control group,the FSS score of the observation group was significantly lower,and the FMA,CCR and other indicators were significantly higher(P<0.05).Conclusion:For patients with post-stroke fatigue,invigorating qi and removing stasis combined with diaphragmatic muscle training can effectively relieve the severity of fatigue,improve motor function and promote the recovery of motor control ability,which has high clinical promotion value.