依达拉奉联合上肢作业疗法对脑梗死偏瘫患者活动功能及生存质量的影响
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摘要
目的:探讨依达拉奉与上肢作业疗法联合治疗对脑梗死偏瘫患者活动功能以及生存质量的改善效果。方法:回顾性分析2016年4月—2018年6月我院收治的76例脑梗死偏瘫患者的临床资料,据治疗方案的不同分为对照组[依达拉奉(30 mg加入100 mL 0.9%氯化钠注射液,ivgtt,bid)]与观察组[上肢作业疗法+依达拉奉(同对照组)],各38例。比较两组治疗前、后活动功能与生存质量变化情况。结果:治疗14d与28 d后,观察组Fugl-Meyer评定量表(Fugl-Meyer Assessment,FMA)评分均高于对照组,差异有统计学意义(P <0.05);治疗28 d后,观察组世界卫生组织生存质量测定量表(WHOQOL-100)评分均高于对照组,差异有统计学意义(P <0.05)。结论:依达拉奉与上肢作业疗法联合治疗脑梗死偏瘫可有效提高患者的活动功能,改善生存质量。
Objective:To investigate the improving effect of edaravone combined with occupational therapy of upper extremities on activity functions and quality of life of hemiplegic patients with cerebral infarction. Methods:The clinical data of 76 hemiplegic patients with cerebral infarction admitted to our hospital from April 2016 to June 2018 were retrospectively analyzed, and the patients were divided into a control group[edaravone(30 mg drug was added to 100 mL sodium chloride injection, ivgtt, bid)] and an observation group[occupational therapy of upper extremities + edaravone(the same as the control group)] according to difference treatment options, 38 cases in each group. The changes in activity functions and quality of life before and after treatment were compared between the two groups. Results:After 14 days and 28 days of treatment, the FuglMeyer Assessment(FMA) scores in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). After 28 days of treatment, the scores of the World Health Organization Quality of Life Measurement Scale(WHOQOL-100) in the observation group were higher than those in the control group, and the difference was statistically signi?cant(P<0.05). Conclusion:Edaravone combined with occupational therapy of upper extremities for treating hemiplegia due to cerebral infarction can effectively improve patients' activity functions and improve the quality of life of the patients.
Objective:To investigate the improving effect of edaravone combined with occupational therapy of upper extremities on activity functions and quality of life of hemiplegic patients with cerebral infarction. Methods:The clinical data of 76 hemiplegic patients with cerebral infarction admitted to our hospital from April 2016 to June 2018 were retrospectively analyzed, and the patients were divided into a control group[edaravone(30 mg drug was added to 100 mL sodium chloride injection, ivgtt, bid)] and an observation group[occupational therapy of upper extremities + edaravone(the same as the control group)] according to difference treatment options, 38 cases in each group. The changes in activity functions and quality of life before and after treatment were compared between the two groups. Results:After 14 days and 28 days of treatment, the FuglMeyer Assessment(FMA) scores in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05). After 28 days of treatment, the scores of the World Health Organization Quality of Life Measurement Scale(WHOQOL-100) in the observation group were higher than those in the control group, and the difference was statistically signi?cant(P<0.05). Conclusion:Edaravone combined with occupational therapy of upper extremities for treating hemiplegia due to cerebral infarction can effectively improve patients' activity functions and improve the quality of life of the patients.
引文
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[2]寇冬艳,唐晓斌,张园园,等.引导式教育训练对老年脑梗死偏瘫早期患者上肢功能恢复的影响[J].广西医科大学学报,2018,35(9):1211-1215.
[3]中华神经科医学会,神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[4]符晓艳,王羚入,董茂渝,等.脑梗死偏瘫患者主动运动依从性及其影响因素的研究[J].中华老年心脑血管病杂志,2018,20(8):827-831.
[5]张海军.依达拉奉联合丁苯酞治疗缺血性脑卒中的疗效研究[J].中国合理用药探索,2017,14(7):20-22.
[6]林源,王丽,苏翠红,等.简易日常生活功能训练方案在急性脑梗死偏瘫患者中的初步应用[J].解放军护理杂志2017,34(6):18-21,40.
[7]宋振华,随燕芳,林夏妃,等.不同体位上肢作业治疗对脑梗死偏瘫患者功能活动的影响[J].中国康复,2018,33(03):191-194.
[8]樊素娟.臭氧大自血疗法联合依达拉奉治疗老年急性脑梗死的临床疗效[J].中国合理用药探索,2018,15(12):30-33,40.