脑血运重建术后个体化功能锻炼对烟雾病患者的影响

Effect of Individualized Functional Exercise after Cerebrovascular Revascularization on Patients with Moyamoya Disease

目的探讨脑血运重建术后个体化功能锻炼对烟雾病患者的影响。方法选取2021年1月—2023年1月在首都医科大学附属北京天坛医院行脑血运重建术的烟雾病患者126例为研究对象,采用随机数字表法将其分为常规组和功能锻炼组,每组63例。常规组患者术后接受常规护理,功能锻炼组患者术后接受个体化功能锻炼。比较两组干预1个月临床疗效,干预前、干预1个月血流动力学指标[脑血流量(CBV),达峰时间(TTP),平均通过时间(MTT)]、美国国立卫生研究院卒中量表(NIHSS)评分及Barthel指数,干预期间并发症发生率,干预1个月患者满意度。结果干预1个月,功能锻炼组临床疗效优于常规组(P<0.05)。干预1个月,功能锻炼组CBV小于常规组,TTP、MTT短于常规组(P<0.05)。干预1个月,功能锻炼组NIHSS评分低于常规组,Barthel指数高于常规组(P<0.05)。常规组干预期间并发症发生率高于功能锻炼组(P<0.05)。功能锻炼组患者满意度优于常规组(P<0.05)。结论脑血运重建术后个体化功能锻炼能有效提高烟雾病患者临床疗效,改善其血流动力学,提高日常生活活动能力,减轻神经功能损伤,减少并发症,并提高患者满意度。

Objective To explore the effects of individualized functional exercise after cerebrovascular revascularization on patients with moyamoya disease.Methods A total of 126 patients with moyamoya disease who underwent cerebrovascular revascularization in Beijing Tiantan Hospital,Capital Medical University from January 2021 to January 2023 were selected as the study subjects,and they were divided into routine group and functional exercise group by random number table method,with 63 cases in each group.Patients in the routine group receive routine care after surgery,and patients in the functional exercise group receive individualized functional exercise after surgery.The clinical efficacy at one month after intervention,hemodynamic indexes[cerebral blood flow(CBV),time to peak(TTP),mean transit time(MTT)],National Institutes of Health Stroke Scale(NIHSS)score and Barthel Index before intervention and at one month after intervention,the incidence of complications during the intervention,and the satisfaction of patients at one month after intervention were compared between the two groups.Results At one month after intervention,the clinical efficacy in the functional exercise group was better than that in the conventional group(P<0.05).At one month after intervention,CBV in the functional exercise group was less than that in the conventional group,and TTP and MTT were shorter than those in the conventional group(P<0.05).At one month after intervention,the NIHSS score in the functional exercise group was lower than that in the conventional group,and the Barthel Index was higher than that in the conventional group(P<0.05).The incidence of complications during the intervention in the routine group was higher than that in the functional exercise group(P<0.05).The satisfaction of patients in the functional exercise group was better than that in the conventional group(P<0.05).Conclusion Individualized functional exercise after cerebral revascularization can effectively improve the clinical efficacy of patients with moyamoya disease,improve their hemodynamics and activities of daily living,reduce neurological impairment and complications,and improve the satisfaction of patients.