核心肌力训练对脑卒中患者运动功能、生活质量及康复效果的影响

Research on the effects of core muscle training on motor function,quality of life and rehabilitation of stroke patients

目的研究核心肌力训练对脑卒中患者运动功能、生活质量及康复效果的影响。方法临床选取2020年12月-2021年12月在天津市北辰区西堤头镇社区卫生服务中心进行诊治的96例脑卒中患者,使用数字排列表法分成对照组和观察组,每组各48例。对照组患者采取常规护理干预,观察组在对照组基础上进行核心肌力训练。对两组患者神经功能、运动功能、平衡功能、生活质量、痉挛分级、并发症发生率以及康复效果进行观察对比。结果诊治前两组患者神经功能缺损程度评分表(NIHSS)、Fugl-Meye运动功能(FMA)评分基本相同(P>0.05),诊治后观察组患者NIHSS评分低于对照组,观察组患者FMA评分高于对照组(P<0.05);诊治前两组患者Berg平衡功能量表(BBS)、生活质量量表(SF-36)评分基本相同(P>0.05),诊治后观察组患者BBS、SF-36评分均高于对照组(P<0.05);观察组患者痉挛评定量表分级0级、1级占比高于对照组,但观察组患者痉挛评定量表分级3级、4级占比低于对照组(P<0.05);观察组患者并发症总发生率(6.25%)相对于对照组(39.58%)更低(P<0.05);观察组患者康复总有效率(97.92%)相对于对照组(75.00%)更高(P<0.05)。结论脑卒中患者采取核心肌力训练能够有效改善患者神经功能、运动功能、平衡功能,有利于提升生活质量,使患者痉挛程度得到改善,降低并发症发生率,提高患者康复效果,具有临床应用价值,提倡推广使用。

Objective Investigating the effects of core plyometric training on motor function,quality of life and rehabilitation of stroke patients.Methods Clinically selected 96 cases of stroke patients who were diagnosed and treated in our hospital from December 2020 to December 2021 were divided into the control group and the observation group using the numerical arrangement table method,each with 48 cases.The patients in the control group adopted conventional nursing interventions,and the observation group carried out core muscle strength training on the basis of the control group.Neurological function,motor function,balance function,quality of life,spasticity grade,complication rate and rehabilitation effect were observed and compared between the two groups.Results Before the diagnosis and treatment,the scores of Neurological Impairment Scale(NIHSS)and Fugl-Meye Motor Function(FMA)of the two groups of patients were basically the same(P>0.05),and after the diagnosis and treatment,the NIHSS score of the patients in the observation group was lower than that of the control group,and the FMA score of the patients in the observation group was higher than that of the control group(P<0.05);before the diagnosis and treatment,the Berg Balance Function(BBS)and Quality of Life Scale(SF-36)scores of the two groups were basically the same(P>0.05),and the BBS and SF-36 scores of the patients in the observation group were higher than those of the control group after the diagnosis and treatment(P<0.05);the percentage of spasticity rating scale grade 0 and 1 of the patients in the observation group was higher than that of the control group,but the percentage of the patients in the observation group with spasticity rating scale grade 3 and 4 was lower than that of the control group(P<0.05).The total complication rate in the observation group(6.25%)was lower than that of the control group(39.58%)(P<0.05);the total effective rate of rehabilitation of patients in the observation group(97.92%)was higher than that of the control group(75.00%)(P<0.05).Conclusion Core muscle training can effectively improve the neurological function,motor function and balance function of patients with stroke,which is conducive to improving the quality of life,improving the degree of spasticity,reducing the incidence of complications,and improving the rehabilitation effect of patients,which has clinical application value and is advocated to be promoted for use.