亚急性脑卒中患者现代康复治疗中加入音乐运动疗法的有效性分析

Analysis of effectiveness of music and exercise therapy in modern rehabilitation treatment of patients with subacute stroke

目的观察亚急性脑卒中患者现代康复治疗中加入音乐运动疗法的有效性。方法100例亚急性脑卒中患者,以随机数字表法分成对照组及研究组,每组50例。对照组接受现代康复治疗,研究组接受现代康复治疗中加入音乐运动疗法治疗。比较两组患者干预前后的神经功能缺损、运动功能、日常生活能力、功能性步行能力、生活质量评分,康复效果。结果干预后,两组患者的神经功能缺损评分低于本组干预前,上肢运动功能、下肢运动功能、日常生活能力、功能性步行能力、生活质量评分高于本组干预前,且研究组患者的神经功能缺损评分(11.76±3.67)分低于对照组的(15.55±2.34)分,上肢运动功能评分(57.79±5.31)分、下肢运动功能评分(30.49±3.45)分、日常生活能力评分(18.37±1.51)分、功能性步行能力评分(4.11±0.42)分、生活质量评分(92.86±4.22)分高于对照组的(50.38±4.38)、(27.18±3.31)、(15.61±2.63)、(3.27±0.35)、(89.17±3.55)分,差异具有统计学意义(P<0.05)。研究组患者的康复总有效率98.00%高于对照组的84.00%,差异具有统计学意义(P<0.05)。结论在亚急性脑卒中患者现代康复治疗中加入音乐运动疗法,可显著的改善患者的神经功能缺损程度、运动功能、日常生活能力、功能性步行能力及生活质量,获得理想的康复效果。

Objective To observe the effectiveness of music and exercise therapy in modern rehabilitation treatment of patients with subacute stroke.Methods A total of 100 patients with subacute stroke were divided into control group and study group according to the random numerical table,with 50 cases in each group.The control group received modern rehabilitation therapy,and the study group received modern rehabilitation therapy with music and exercise therapy.The nerve function defect,motor function,activities of daily living,functional walking ability,quality of life score before and after intervention,and rehabilitation effect were compared between the two groups.Results After intervention,the score of nerve function defect in both groups was lower than that before intervention in this group,and the scores of upper limb motor function,lower limb motor function,activities of daily living,functional walking ability and quality of life were higher than those before intervention in this group;the score of nerve function defect of(11.76±3.67)points in the study group was lower than that of(15.55±2.34)points in the control group;in the study group,the upper limb motor function score was(57.79±5.31)points,the lower limb motor function score was(30.49±3.45)points,the activities of daily living score was(18.37±1.51)points,the functional walking ability score was(4.11±0.42)points and the quality of life score was(92.86±4.22)points,which were higher than those of(50.38±4.38),(27.18±3.31),(15.61±2.63),(3.27±0.35)and(89.17±3.55)points in the control group;the differences were statistically significant(P<0.05).The total effective rate of rehabilitation of the study group was 98.00%,which was higher than that of 84.00%of the control group,and the difference was statistically significant(P<0.05).Conclusion Adding music and exercise therapy to the modern rehabilitation treatment of patients with subacute stroke can significantly improve the degree of nerve function defect,motor function,activities of daily living,functional walking ability and quality of life,and obtain ideal rehabilitation effect.