多种感觉刺激疗法对脑梗死患者偏瘫肢体运动功能和日常生活能力的影响

Effect of multiple sensory stimulation therapy on motor function of hemiplegic limbs and daily living ability in patients with cerebral infarction

目的探讨多种感觉刺激疗法对脑梗死患者偏瘫肢体运动功能和日常生活能力的影响。方法选取2018年3月至2019年12月首都医科大学附属北京康复医院收治的112例脑梗死患者为研究对象,采用随机数字表法分为对照组和观察组,每组56例。对照组给予常规康复治疗,观察组在对照组基础上联合多种感觉刺激疗法。比较分析两组患者干预8周后的临床疗效以及干预前后的脑氧代谢指标水平[脑氧摄取率(cerebral extraction of oxygen,CERO2)、动静脉血氧含量差(arterial venous oxygen content difference,D(a-jv)O2)和动脉血氧含量(arterial oxygen,CaO2)]、神经功能[美国国立卫生研究院卒中量表(National Institutes of Health Stroke Scale,NIHSS)评分]、偏瘫肢体运动功能[Fugl-Meyer运动功能评定量表(Fugl-Meyer assessment scale,FMA)评分]和日常生活能力[Barthel指数(Barthel index,BI)评分]。结果干预8周后,观察组患者的临床总有效率显著高于对照组(P<0.05)。与干预前比较,两组患者干预8周后的CERO2、D(a-jv)O2、CaO2和NIHSS评分均显著降低(P<0.05),且观察组患者的CERO2、D(a-jv)O2和NIHSS评分均显著低于对照组(P<0.05)。与干预前比较,两组患者干预1、4、8周后的FMA评分、BI评分均显著升高(P.<0.05),且观察组显著高于对照组(P.<0.05)。结论多种感觉刺激疗法可显著改善脑梗死患者的临床疗效和脑氧代谢指标,且可明显促进患者的偏瘫肢体运动功能恢复,提高患者的日常生活能力。

Objective To explore the effect of multiple sensory stimulation therapy on motor function of hemiplegic limbs and daily living ability in patients with cerebral infarction.Method 112 patients with cerebral infarction admitted to Beijing Rehabilitation Hospital,Capital Medical University from March 2018 to December 2019 were selected as the research objects.They were divided into control group and observation group by random number table method,with 56 cases in each group.The control group was given the conventional rehabilitation method,and the observation group was combined with multiple sensory stimulation therapy on the basis of the control group.The clinical efficacy of the two groups after intervention for 8 weeks and the level of cerebral oxygen metabolism index[CERO2,D(a-jv)O2,CaO2],neurological function(NIHSS score),motor function of hemiplegic limbs(FMA score)and daily living ability(BI score)before and after intervention in two groups were compared and analyzed.Result After 8 weeks of intervention,the total effective rate of observation group was significantly higher than that of control group(P<0.05).Compared with before intervention,CERO2,D(a-jv)O2,CaO2and NIHSS scores in two groups were significantly decreased after 8 weeks of intervention(P<0.05),and CERO2,D(a-jv)O2and NIHSS scores in observation group were significantly lower than those in control group(P<0.05).Compared with before intervention,the FMA score and BI score of two groups were significantly increased after 1,4 and 8 weeks of intervention(P<0.05),and the observation group was significantly higher than the control group(P<0.05).Conclusion Multiple sensory stimulation therapy can significantly improve the clinical efficacy and cerebral oxygen metabolism of patients with cerebral infarction,and can significantly improve the motor function of hemiplegic limbs and daily living ability.