康复护理对首次脑卒中患者肢体运动功能障碍恢复的影响

【目的】探讨康复护理在首次脑卒中患者肢体运动功能障碍恢复中的应用价值。【方法】将符合标准的80例首次脑卒中偏瘫患者随机分为观察组和对照组各40例 ，对照组给予脑卒中常规护理，观察组在常规护理的基础上给予康复护理，干预3个月后比较两组患者的 Fugl‐Meyer 运动功能评分（FMA ）、Barthel 指数（BI）评分，并对肢体肌力恢复效果进行评价。【结果】观察组肢体肌力愈显率为60．0％，高于对照组的37．5％（ P ＜ 0．05）；两组患者 FMA 、BI 评分均较干预前增加（ P ＜ 0．05），且观察组优于对照组，差异有统计学意义（ P ＜ 0．05）。【结论】对首次脑卒中患者肢体功能障碍进行康复护理，可促进患者肢体运动功能的恢复，有利于日常活动能力的提高。

康复治疗时机对脑梗死患者认知和运动功能恢复的影响

[目的]探讨不同的康复治疗开始时间对脑梗死患者认知功能和运动功能的影响。[方法]收集本院2016年1月至2021年1月收治的160例符合纳入条件的脑梗死患者,回顾性分析脑梗死患者在不同的康复治疗干预时间后其治疗的临床康复效果。按患者接受康复干预的时间点分为两组,其中80例患者开始康复治疗的时间为发病后d_(2)(观察组),另外80例患者开始康复治疗的时间为发病后d_(7)(对照组),两组患者采用相同的干预方法。分别在治疗前、治疗后1个月和3个月时利用简易精神状态检查(Mini-mental State Ex-amination,MMSE)量表评分、肢体运动功能(Fugl-Meyer,FMA)量表评分和日常生活活动能力(Activities Of Daily Living,ADL)量表评分评估不同的康复治疗开始时间对脑梗死患者认知功能和运动功能的影响。[结果]两组患者治疗前MMSE评分、FMA评分、ADL评分比较,差异均无统计学意义(P>0.05)。治疗后1个月和治疗后3个月两组患者的MMSE评分、FMA评分、ADL评分均较治疗前明显升高,且治疗后3个月明显高于治疗后1个月、观察组明显高于对照组,其差异均有统计学意义(P<0.05)。[结论]脑梗死患者给予早期康复干预治疗能够更有效地改善患者的认知功能和肢体运动功能。

磁场电脉冲配合经络穴位治疗中风运动功能障碍的临床观察

将62例患者随机分为2组,即磁场电脉冲配合经络穴位治疗组31例,电针对照组31例,2组同时配合肢体功能锻炼。治疗前后采用Brunnstrom偏瘫运动功能评价、日常生活Barthel指数、手功能和步行能力等方法对患者偏瘫肢体功能评测。结果表明:中风患者偏瘫肢体运动功能、手功能、步行能力以及日常生活活动等方面,治疗组疗效优于对照组,差异有显著性意义(P<0.05)。

中医醒脑开窍针灸法对脑卒中偏瘫患者康复期肢体功能恢复进程的影响

【目的】探讨中医醒脑开窍针灸法对脑卒中偏瘫患者康复期肢体功能恢复进程的影响。【方法】102例脑卒中后偏瘫患者,随机分为两组,每组51例。对照组患者行常规康复训练,观察组在此基础上另行中医醒脑开窍针灸治疗,治疗4周后,比较两组患者的临床疗效、中医证候积分、Brunnstrom分期、运动功能[Fugl-Meyer运动功能(FMA)评定量表、Berg平衡量表(BBS)]、神经功能和日常生活活动能力[美国国立卫生研究院卒中量表(NIHSS)、改良Rankin量表(mRS)]。【结果】观察组总有效率高于对照组(P<0.05)。治疗后,两组患者的舌质暗红、爪甲紫暗、面色晦暗、偏身麻木、手足肿胀、口唇及齿龈暗等证候评分较治疗前均下降(P<0.05),且观察组各项评分低于对照组(P<0.05)。观察组治疗后上肢、下肢、手Brunnstrom分期Ⅲ期占比高于对照组(P<0.05)。两组治疗后上肢、下肢FMA评分及BBS评分高于治疗前(P<0.05),且观察组治疗后上肢、下肢FMA评分及BBS评分高于对照组(P<0.05)。两组治疗后NIHSS评分、mRS评分较治疗前均下降(P<0.05),且观察组治疗后NIHSS评分、mRS评分低于对照组(P<0.05)。【结论】醒脑开窍针灸法能有效改善脑卒中后康复期偏瘫患者的中医证候评分,提高肢体Brunnstrom分期和肢体运动能力,改善神经功能,综合疗效较好,建议推广应用。

早期康复护理措施对脑外伤功能障碍患者的影响研究

目的探究对脑外伤功能障碍患者行以早期康复护理的影响。方法随机选取本院2017年1-12月收治的脑外伤功能障碍患者50例,按入院时间分为对照组和研究组各25例。给予对照组患者常规护理,给予研究组患者常规护理的同时,实施了早期康复护理。护理后,对2组患者使用Fugl-Meyer评分(躯体运动能力评分)及ADL评分(日常生活能力评分)。结果护理后,2组患者身体功能均有所好转,研究组患者恢复情况明显好于对照组,对照组患者护理后ADL评分为(46.57±10.4)分,研究组患者护理后为(67.29±14.3)分,差异有统计学意义(t=5.86,P<0.05)。结论对脑外伤功能障碍患者行早期康复护理,可有效促进其躯体运动功能恢复,提高患者日常生活能力。

奎屯市肢体残疾患者社区康复训练效果分析

目的掌握奎屯市肢体残疾人在社区康复训练的效果。方法采用改良Barthel指数(MBI)评价生活自理能力,简式Fugl-Meyer运动功能评分(FMA)评价运动功能。对185例肢体残疾患者参加社区康复训练前后的生活自理能力及运动功能情况进行调查分析。结果肢体残疾患者经过持续半年的社区康复训练后,运动功能和生活自理能力均有显著提高,社区康复训练效果优于家庭康复训练(P<0.05)。结论社区康复训练是非常适合奎屯市肢体残疾人康复的有效模式。

Governor vessel-unblocking and mind-regulating acupuncture therapy for sensory and motor dysfunction after spinal cord injury

Objective： To observe the difference in clinical efficacy between governor vessel-unblocking and mind- regulating acupuncture therapy combined with conventional rehabilitation therapy and simply conventional rehabilitation therapy for sensory and motor dysfunction of patients with spinal cord injury. Methods： Forty patients with spinal cord injury （SCI） were randomly assigned into rehabilitation combined with acupuncture group （group A） and rehabilitation group （group B）, with 20 patients in each group. In group A, governor vessel-unblocking and mind-regulating acupuncture therapy combined with conventional rehabilitation therapy was adopted, and Baihui（百会 GV 20）, Fengffu （风府GV 16）, Dazhui （大椎GV 14）, Zhiyang （至阳GV 9）, Mingmen （命门 GV 4） and Yfioyangguan （腰阳关 GV 3） were adopted as the main acupoints. Conventional rehabilitation therapy was also applied, including the rehabilitation training of joint, motion, respiration, urinary bladder and intestinal tract. In group B, conventional rehabilitation therapy was adopted as same as the group A. Treatment in the two groups was conducted for once a day, 6 times a week, and 12 weeks in total. ASIA motor score （MS）, ASIA sensory score （SS） and activity of daily living （ADL） score of patients in the two groups were observed before and after the treatment. Results： Before treatment, the differences in MS, SS and ADL score of patients in the two groups were not statistically significant （all P 〉 0.05）, and the results were comparable. After treatment, MS, SS and ADL score of patients in the two groups were all higher than that before the treatment （all P 〈 0.05）, and MS, SS and ADL score of the patients in group A were all higher than that in group B （all P 〈 0.05）. Conclusion： The curative effect of governor vessel-unblocking and mind-regulating acupuncture therapy combined with conventional rehabilitation therapy was superior to that of simply conventional rehabilitation therapy in the treatment of sensory and motor dysfunction of the patients with SCI.

Clinical observation of scalp acupuncture plus speech rehabilitation for Broca's aphasia after cerebral stroke

Objective：To explore the clinical efficacy of scalp acupuncture plus speech rehabilitation in treating Broca＆#39;s aphasia after cerebral stroke, for providing novel evidences for the treatment. Methods：Ninety-one eligible patients with Broca＆#39;s aphasia after cerebral stroke were randomized into an observation group and a control group. Forty-six cases in the observation group were intervened by scalp acupuncture plus speech rehabilitation, while 45 cases in the control group were treated by speech rehabilitation alone. The aphasia battery of Chinese （ABC） and Boston diagnostic aphasia examination （BDAE） were adopted to evaluate the clinical efficacy. Results：After the treatment, the scores of oral expression, reading and writing and global score in the observation group were significantly higher than those in the control group （allP〈0.05）. There was a significant difference in comparing the BDAE grading between the two groups after the treatment （P〈0.05）. After intervention, the basically-recovered plus markedly-effective rate was 45.7% in the observation group versus 24.4% in the control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion：Scalp acupuncture plus speech rehabilitation is effective in treating Broca＆#39;s aphasia after cerebral stroke, and worth promoting.