体位训练对老年脑卒中卧床患者的康复作用

Rehabilitation effect of positional training on stroke in elderly bedridden patients

目的观察体位训练在老年脑卒中卧床患者中的康复作用。方法选取123例老年脑卒中患者,按照随机数字表法分为对照组和观察组。对照组61例,实施常规站立康复训练;观察组62例,在常规站立康复训练基础上实施体位训练。比较两组的平衡功能,晕厥先兆及晕厥症状情况,以及心血管功能恢复情况。结果训练3 d、7 d和14 d后,观察组Berg平衡量表(BBS)评分高于对照组,晕厥先兆及晕厥症状发生率低于对照组,差异有统计学意义(P<0.05)。训练后随访6个月,观察组心血管功能指标心率(HR)、收缩压(SBP)、舒张压(DBP)高于对照组(P<0.05)。结论老年脑卒中患者采用站立康复训练配合体位训练可促进平衡功能和心血管功能恢复。

Objective To observe the rehabilitation effect of position training on stroke in elderly bedridden patients.Methods 123 elderly patients with stroke were selected and randomly divided into two groups using a number table method.The control group were consisted of 61 patients who underwent routine standing rehabilitation training,while the observation group were consisted of 62 patients who underwent posture training on the basis of routine standing rehabilitation training.The balance function before and after training between two groups of patients,as well as the occurrence of syncope symptoms and symptoms after training were compared.Follow up for 6 months to compare the recovery of blood circulation function between the two groups.Results After 3,7 and 14 d of health training,the Berg Balance Scale(BBS)score of the observation group was higher than that of the control group,and the incidence of syncope premonitions and syncope symptoms was lower than that of the control group,with a statistically significant difference(P<0.05).After 6 months of follow-up after training,the cardiovascular function indicators of heart rate(HR),systolic blood pressure(SBP),and diastolic blood pressure(DBP)in the observation group were higher than those in the control group(P<0.05).Conclusion Standing rehabilitation training combined with positional training can promote the recovery of balance function and cardiovascular function in elderly stroke patients.