脑卒中偏瘫患者实施神经康复治疗在运动功能及日常生活能力方面的影响探究

Effects of Neurorehabilitation on Motor Function and Daily Living Ability in Stroke Patients with Hemiplegia

目的 探讨对脑卒中偏瘫患者给予神经康复治疗后对其运动功能以及日常生活能力产生的影响。方法 选取2020年9月—2022年3月松原吉林油田医院及医联体医院收治的150例脑卒中偏瘫患者为研究对象,以投掷硬币法分为两组。参照组(75例)采用常规治疗,研究组(75例)采用神经康复治疗。比较两组脑卒中偏瘫患者的日常生活能力以及运动功能。结果 治疗前,两组Barthel评分以及运动功能评估量表(FuglMeyer assessment scale,FMA)评分比较,差异无统计学意义(P均>0.05);治疗后1、3个月,与参照组Barthel评分(60.79±6.22)分、(80.13±5.25)分以及FMA评分(7.88±1.49)分、(11.09±1.32)分比较,研究组偏瘫患者Barthel评分(66.13±5.25)分、(85.13±8.22)分以及FMA评分(8.49±1.46)分、(11.59±1.25)分均呈现出显著提升,差异有统计学意义(t=5.681、4.439、2.532、2.381,P均<0.05)。结论 临床对脑卒中偏瘫患者给予神经康复治疗,可明显改善患者的日常生活能力以及运动功能。

Objective To investigate the effect of neurorehabilitation on motor function and daily living ability of stroke patients with hemiplegia.Methods One hundred and fifty stroke hemiplegia patients admitted to Jilin Oilfield Hospital of Songyuan and Medical Union Hospital from September 2020 to March 2022 were selected as the study objects,and were divided into two groups according to the coin toss method.The reference group(75 cases) was treated with conventional therapy.The treatment method used in the study group(75 cases) was neurorehabilitation.The daily living ability and motor function of stroke patients with hemiplegia were compared between the two groups.Results Before treatment,there were no statistically significant differences in the evaluation results of Barthel score and FuglMeyer Assessment Scale(FMA) score between the two group of hemiplegia patients(both P>0.05).At 1 and 3 months after the treatment,compared with the Barthel scores(60.79±6.22) points,(80.13±5.25) points and FMA scores(7.88±1.49) points,(11.09±1.32) points in the reference group,the Barthel score(66.13±5.25) points,(85.13±8.22) points and FMA score(8.49±1.46) points,(11.59±1.25) points in the study group of hemiplegia patients were significantly improved,and the differences were statistically significant(t=5.681,4.439,2.532,2.381,all P<0.05).Conclusion Clinical neurorehabilitation treatment for stroke patients with hemiplegia can significantly improve their daily living ability and motor function.