综合康复训练模式在糖尿病合并脑卒中患者中的应用效果分析

Analysis of the effect of comprehensive rehabilitation training model in stroke patients with diabetes mellitus

目的分析综合康复训练模式对糖尿病合并脑卒中患者的应用效果。方法180例糖尿病合并脑卒中患者,采用盲目随机法分为对照组和观察组,各90例。对照组患者采用常规护理模式,观察组患者观察组在常规护理模式基础上采用综合康复训练模式。比较两组患者干预前后美国国立卫生研究院卒中量表(NIHSS)评分、Barthel指数及血糖水平。结果干预前,两组NIHSS评分及Barthel指数比较,差异无统计学意义(P>0.05);干预后,观察组NIHSS评分(15.63±5.61)分低于对照组的(28.65±6.90)分,Barthel指数(61.92±7.81)分高于对照组的(53.42±6.03)分,差异具有统计学意义(P<0.05)。干预前,两组餐后2 h血糖、空腹血糖水平比较,差异无统计学意义(P>0.05);干预后,观察组餐后2 h血糖(5.72±2.41)mmol/L、空腹血糖(5.03±1.52)mmol/L均低于对照组的(8.53±2.04)、(7.92±2.57)mmol/L,差异具有统计学意义(P<0.05)。结论对糖尿病合并脑卒中患者采用综合康复训练模式,可以在有效控制血糖水平的基础上促进神经功能的恢复,还可提升患者的生活质量,具有临床推广价值。

Objective To analyze the application effect of comprehensive rehabilitation training model in stroke patients with diabetes mellitus.Methods A total of 180 stroke patients with diabetes mellitus were divided into a control group and an observation group according to blind randomization method,with 90 cases in each group.Patients in the control group used the conventional nursing model,and patients in the observation group used the comprehensive rehabilitation training model on the basis of the conventional nursing model.The National Institutes of Health Stroke Scale(NIHSS)score,Barthel index and blood glucose levels were compared between the two groups before and after intervention.Results Before intervention,there was no statistically significant difference in NIHSS scores and Barthel index between the two groups(P>0.05).After intervention,the NIHSS score(15.63±5.61)points of the observation group was lower than(28.65±6.90)points of the control group;the Barthel index(61.92±7.81)points of the observation group was higher than(53.42±6.03)points of the control group;the differences were statistically significant(P<0.05).Before intervention,there was no statistically significant difference between the two groups in terms of 2-h postprandial glucose and fasting glucose levels(P>0.05).After intervention,the 2-h postprandial glucose(5.72±2.41)mmol/L and fasting blood glucose(5.03±1.52)mmol/L of the observation group were lower than(8.53±2.04)and(7.92±2.57)mmol/L of the control group,and the differences were statistically significant(P<0.05).Conclusion The comprehensive rehabilitation training model for stroke patients with diabetes mellitus can promote the recovery of neurological function on the basis of effective control of blood glucose level,and also improve the quality of life of patients,which has the value of clinical promotion.