早期神经康复介入治疗重症脑卒中患者的效果分析

Effect analysis of early neurorehabilitation intervention in patients with severe stroke

目的探究早期神经康复介入治疗重症脑卒中患者的临床效果。方法84例重症脑卒中患者,按随机数字表法分为对照组和观察组,各42例。对照组采取常规康复治疗,观察组在对照组基础上采取早期神经康复介入治疗。比较两组临床疗效、并发症发生情况及美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer运动功能评估量表(FMA)、脑卒中专用生活质量量表(SS-QOL)评分。结果观察组治疗总有效率95.24%高于对照组的80.95%,差异有统计学意义(P<0.05)。治疗后,观察组NIHSS评分(11.59±1.24)分低于对照组的(20.13±1.58)分,FMA评分(72.69±4.18)分、SS-QOL评分(210.74±11.38)分高于对照组的(60.13±3.52)、(169.96±10.25)分,差异有统计学意义(P<0.05)。观察组并发症发生率4.76%低于对照组的21.43%,差异有统计学意义(P<0.05)。结论对重症脑卒中患者采用早期神经康复介入治疗疗效显著,能有效减轻神经功能损伤,改善运动功能,减少并发症发生,进而提高生活质量。

Objective To investigate the clinical effect of early neurorehabilitation intervention in patients with severe stroke.Methods A total of 84 patients with severe stroke were divided into a control group and an observation group according to the random numerical table,with 42 cases in each group.The control group received conventional rehabilitation therapy,and the observation group received early neurorehabilitation intervention based on the control group.Both groups were compared in terms of clinical efficacy,occurrence of complications and National Institutes of Health Stroke Scale(NIHSS)score,Fugl-Meyer Assessment Scale(FMA)score and Stroke-Specific Quality of Life Scale(SS-QOL)score.Results The total effective rate of treatment in the observation group was 95.24%,which was higher than 80.95%in the control group,and the difference was statistically significant(P<0.05).After treatment,the NIHSS score(11.59±1.24)points of the observation group was lower than(20.13±1.58)points of the control group;the FMA score(72.69±4.18)points and SS-QOL score(210.74±11.38)points of the observation group were higher than(60.13±3.52)and(169.96±10.25)points of the control group;the differences were statistically significant(P<0.05).The complication rate 4.76%in the observation group was lower than 21.43%in the control group,and the difference was statistically significant(P<0.05).Conclusion Early neurorehabilitation intervention in patients with severe stroke can effectively reduce neurological damage,improve motor function,reduce the occurrence of complications,and improve the quality of life.