论文部分内容阅读
目的探讨综合康复训练对脑卒中伴肢体偏瘫患者的干预效果。方法 90例脑卒中伴肢体偏瘫患者,根据随机数字表法将患者分为综合干预组和常规组,每组45例。常规组接受常规康复训练方法 ,综合干预组在常规组基础上实施综合康复训练。比较两组干预前后的神经功能缺损(NIHSS)、日常生活能力(ADL)(BI指数)及焦虑自评量表(SAS)和抑郁自评量表(SDS)评分变化情况。结果干预后综合干预组NIHSS评分、ADL(BI指数)、SAS、SDS评分分别为(4.74±2.95)、(65.72±15.53)、(32.95±5.76)、(23.42±9.34)分,均优于常规组的(6.90±2.64)、(52.14±9.55)、(39.48±6.52)、(33.64±12.45)分,差异有统计学意义(P<0.05)。结论综合康复训练治疗脑卒中肢体偏瘫,能有效减轻患者肢体功能障碍,提高患者生活自理能力,缓解其焦虑、抑郁情绪,故能较好的改善患者的生存质量,达到康复治疗的目的。
Objective To investigate the effect of comprehensive rehabilitation training on stroke patients with limb hemiplegia. Methods Ninety patients with stroke and limb hemiplegia were divided into two groups according to the random number table method: comprehensive intervention group and conventional group, with 45 cases in each group. The routine group received the routine rehabilitation training method, and the comprehensive intervention group implemented the comprehensive rehabilitation training on the basis of the routine group. Neurological impairment (NIHSS), ADL (BI index), anxiety self-rating scale (SAS) and depression self-rating scale (SDS) scores of two groups before and after intervention were compared. Results After intervention, NIHSS score, ADL score, SAS score and SDS score were (4.74 ± 2.95), (65.72 ± 15.53), (32.95 ± 5.76) and (23.42 ± 9.34) respectively in the comprehensive intervention group, (6.90 ± 2.64), (52.14 ± 9.55), (39.48 ± 6.52) and (33.64 ± 12.45) points respectively. The difference was statistically significant (P <0.05). Conclusion Comprehensive rehabilitation training for stroke hemiplegia, can effectively reduce limb dysfunction, improve patients’ ability to take care of themselves and ease their anxiety and depression, so it can better improve the quality of life of patients and achieve the purpose of rehabilitation.