传统调督舒筋法联合姿势控制及呼吸康复锻炼治疗脑出血后神经功能障碍的效果研究

Study on the effect of traditional Tiao Du Shu Jin method combined with postural control and respiratory rehabilitation exercises in the treatment of neurological dysfunction after cerebral hemorrhage

目的探讨传统调督舒筋法联合姿势控制及呼吸康复锻炼治疗脑出血后神经功能障碍患者的效果。方法选取2021年9月~2023年3月在我院诊治的脑出血后神经功能障碍患者120例作为研究对象,采用随机数字表法将其分为两组,对照组60例采用姿势控制及呼吸康复锻炼进行治疗,观察组60例采用传统调督舒筋法联合姿势控制及呼吸康复锻炼治疗,比较两组治疗效果和干预前后美国国立卫生研究院卒中量表(NIHSS)评分、日常活动能力(Barthel指数)、生活质量。结果观察组治疗有效率(83.33%)高于对照组(66.67%)(P<0.05);干预后观察组的NIHSS评分[(16.54±2.56)分]低于对照组[(22.37±2.83)分],Barthel指数评分[(84.52±5.47)分]高于对照组[(74.10±4.91)分](P<0.05);干预后,两组情感职能、物理职能、生理功能、社会功能、精神健康、活力、躯体疼痛、总体健康等各维度评分均升高,且观察组各评分较对照组高(P<0.05)。结论综合运用传统调督舒筋法、姿势控制和呼吸康复锻炼治疗脑出血后神经功能障碍,可以促进患者神经功能恢复,提高日常活动能力和生活质量。

Objective To explore the effect of traditional Tiao Du Shu Jin method combined with postural control and respiratory rehabilitation exercise in the treatment of neurological dysfunction after cerebral hemorrhage.Methods From September 2021 to March 2023 in our hospital,120 patients with neurological dysfunction after cerebral hemorrhage were selected as the study objects and divided into two groups by random number table method.The control group of 60 patients was treated with postural control and respiratory rehabilitation exercise.The observation group of 60 cases were treated with traditional Tiao Du Shu Jin method combined with postural control and respiratory rehabilitation exercise.The treatment effect,National Insititute of Health stroke Scale(NIHSS)score,daily activity ability score(Barthel index score)and quality of life before and after intervention were compared between the two groups.Results The effective rate of treatment in the observation group(83.33%)was higher than that in the control group(66.67%)(P<0.05).After intervention,the NIHSS score of the observation group[(16.54±2.56)points]was lower than that of the control group[(22.37±2.83)points],and the Barthel index score was[(84.52±5.47)points]higher than that of the control group[(74.10±4.91)points](P<0.05).After intervention,the scores of emotional function,physical function,physiological function,social function,mental health,vitality,physical pain and general health were increased in both groups,and the scores of the observation group were higher than those in the control group(P<0.05).Conclusion The comprehensive application of traditional Tiao Du Shu Jin method,posture control and respiratory rehabilitation exercises in the treatment of neurological dysfunction after cerebral hemorrhage can promote the recovery of neurological function and inprove the ability of daily activites and life quality.