肌内效贴镇痛联合康复训练对脑卒中偏瘫患者下肢运动功能、步行参数和生活质量的影响

Effect of Intramuscular Acombined with Rehabilitation Training on Lower Limb Motor Function, Walking Parameters and Quality of Life in Stroke Patients with Hemiplegia

目的:探讨肌内效贴镇痛联合康复训练对脑卒中偏瘫患者下肢运动功能、步行参数和生活质量的影响。方法:选取2017年1月-2018年1月期间我院收治的脑卒中偏瘫患者200例为研究对象。根据随机数表法将患者分为对照组(n=100)与观察组(n=100)。两组患者均接受常规康复训练,观察组在此基础上联合肌内效贴镇痛治疗。两组均治疗4周,观察并比较两组患者治疗前后下肢运动功能、步行参数和生活质量。结果:两组患者治疗后简化Fugl-Meyer运动功能量表(FMA-L)、徒手肌力测试(MMT)、Berg平衡量表(BBS)均较治疗前升高,且观察组高于对照组(P<0.05);两组患者治疗后改良Ash-worth量表(MAS)、计时起立行走测试(TGUT)均较治疗前降低,且观察组低于对照组(P<0.05)。两组患者治疗后步速、步幅、患侧步长、健侧步长、步态周期、双腿支撑期均较治疗前升高,且观察组高于对照组(P<0.05);两组患者治疗后步态不对称指数较治疗前降低,且观察组低于对照组(P<0.05)。两组患者治疗后Barthel指数(BI)较治疗前升高,且观察组高于对照组(P<0.05)。结论:肌内效贴镇痛与康复训练联合治疗脑卒中偏瘫患者,疗效满意,可显著改善患者下肢运动功能、步行参数以及生活质量。

Objective: To investigate the effects of intramuscular analgesic combined with rehabilitation training on lower limb motor function, walking parameters and quality of life in stroke patients with hemiplegia. Methods: 200 patients with hemiplegia who were treated in our hospital from August 2017 to January 2018 were selected as the subjects. According to the number table method, the patients were randomly divided into control group(n=100) and observation group(n=100). The two groups were all received routine rehabilitation training, and the observation group combined with intramuscular therapy on the basis of control group. The two groups were treated for 4 weeks, the lower limb motor function, walking parameters and quality of life of the two groups before and after treatment were observed and compared. Results: The simplified Fugl-Meyer exercise function scale(FMA-L), unarmed strength test(MMT) and Berg balance scale(BBS) in the two groups after treatment were higher than those before treatment, and the observation group was higher than that of the control group(P<0.05). The improved Ash-worth scale(MAS) and timed walking test(TGUT) in the two groups after treatment were lower than those before treatment, and the observation group was lower than that of the control group(P<0.05). The pace,stride, affected side stride length, normal side stride length, gait cycle and leg support in the two groups after treatment were all higher than those before treatment, and the observation group was higher than that of the control group(P<0.05). The gait asymmetry index of the two groups decreased after treatment, and the observation group was lower than that of the control group(P<0.05). The Barthel index(BI) of the two groups increased after treatment, and the observation group was higher than that of the control group(P<0.05). Conclusion: Intramuscular analgesic combined with rehabilitation training for stroke patients with hemiplegia can significantly improve the lower limb motor function, walking parameters and quality of life.