早期神经康复介入治疗在重症脑卒中患者中的应用效果及对NIHSS评分的影响

The effect of early neurorehabilitation intervention in patients with severe stroke and its influence on NIHSS score

目的探究早期神经康复介入治疗在重症脑卒中患者中的应用效果及对美国国立卫生研究院卒中量表(NIHSS)评分的影响。方法126例重症脑卒中患者为研究对象,采取随机数字表法分为对照组和观察组,每组63例。对照组患者接受常规治疗,观察组患者接受常规治疗联合早期神经康复介入治疗。比较两组患者的临床疗效,治疗前后的神经功能和肢体运动功能,生存质量。结果观察组总有效率95.24%高于对照组的84.13%,差异具有统计学意义(χ^(2)=4.203,P=0.040<0.05)。治疗后3、6个月,两组的NIHSS评分低于本组治疗前、Fugl-Meyer评分高于本组治疗前,且观察组的NIHSS评分(19.10±2.23)、(11.24±2.30)分低于对照组的(23.11±2.42)、(20.20±2.35)分,Fugl-Meyer评分(58.23±5.45)、(72.69±5.33)分高于对照组的(40.39±5.34)、(60.40±5.32)分,差异具有统计学意义(P<0.05)。治疗后3、6个月,两组的脑卒中专用生活质量量表(SS-QOL)评分高于本组治疗前,且观察组的SS-QOL评分(52.97±5.34)、(88.65±5.52)分高于对照组的(42.84±5.33)、(60.20±5.41)分,差异具有统计学意义(P<0.05)。结论重症脑卒中患者行早期神经康复介入治疗,效果理想,可有效改善患者的神经功能和肢体运动功能,值得优选。

Objective To investigate the effect of early neurorehabilitation intervention in patients with severe stroke and its influence on National Institutes of Health Stroke(NIHSS)score.Methods A total of 126 patients with severe stroke were divided into control group and observation group according to the random numerical table,with 63 cases in each group.The control group received conventional treatment,and the observation group received conventional treatment combined with early neurorehabilitation intervention.The clinical efficacy,neurological function,limb motor function and quality of life before and after treatment were compared between the two groups.Results The total effective rate of 95.24%in the observation group was higher than that of 84.13%in the control group,and the difference was statistically significant(χ^(2)=4.203,P=0.040<0.05).At 3 and 6 months after treatment,the NIHSS score in both groups was lower than that before treatment in this group,and the Fugl-Meyer score was higher than that before treatment in this group;NIHSS scores were(19.10±2.23)and(11.24±2.30)points in the observation group,which were lower than those of(23.11±2.42)and(20.20±2.35)points in the control group;Fugl-Meyer scores were(58.23±5.45)and(72.69±5.33)points in the observation group,which were higher than those of(40.39±5.34)and(60.40±5.32)points in the control group;the differences were statistically significant(P<0.05).At 3 and 6 months after treatment,the scores of stroke specific quality of life scale(SS-QOL)in both groups were higher than those before treatment in this group,and the score of SS-QOL were(52.97±5.34)and(88.65±5.52)points in the observation group,which were higher than those of(42.84±5.33)and(60.20±5.41)points in the control group;the difference were statistically significant(P<0.05).Conclusion Early neurorehabilitation intervention for patients with severe stroke has ideal results and can effectively improve patients'neurological function and limb motor function,which is worthy of preference.