康复训练的时间窗对缺血性脑卒中患者运动功能恢复的影响
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摘要
目的探讨卯时时间窗的康复训练对缺血性脑卒中患者运动功能恢复的影响。方法将120例符合入选标准的缺血性脑卒中患者随机分为3组,每组各40例,试验组采用卯时(早晨5~7时)时间窗运动康复护理;对照A组9~11点时间窗运动康复护理;对照B组15~17点时间窗运动康复护理。干预后对3组患者采用Fugl-Meyer下肢运动功能评价表评价患者下肢运动功能,Berg平衡量表(BBS评分)评价患者的平衡功能,改良的Barthel指数评价患者日常生活能力,同时对脑卒中患者姿势评定量表(PASS)进行评分。结果各组康复4周及康复8周后的Fugl-Meyer评分、BBS评分、改良Barthel指数评分、PASS评分均显著性高于康复前的评分(P<0.01);康复4周后,试验组Fugl-Meyer评分、BBS评分、改良Barthel指数评分、PASS评分均显著高于A组和B组(P<0.01),而A组与B组之间差别无统计学意义(P>0.05);康复8周后,试验组Fugl-Meyer评分、BBS评分、改良Barthel指数评分、PASS评分均显著高于A组和B组(P<0.01),而A组与B组之间差别无统计学意义(P>0.05)。结论卯时时间窗的康复护理训练可促进缺血性脑卒中患者运动功能的恢复。
Objective To study the effect of the rehabilitation training during Mao period time window on patients with ischemic stroke in the recovery of movement function. Methods 120 cases met the criteria for the ischemic stroke. Patients were randomly divided into three groups, and each group had 40 cases. The treatment group adopted functional recovery nursing during Mao period time window(5-7). Group A was given the functional recovery nursing between 9 a.m. to 11 a.m. time window. Group B was between 3 p.m. to 5 p.m. time window. Of three groups of patients after intervention, the Fugl-Meyer motor function evaluation was used to evaluate the moter function of lower limbs, with Berg balance scale to evaluate the balance function of patients, modified Barthel index to evaluate ability of daily living, and at the same time to evaluate the posture assessment of stroke scale(PASS). Results The Fugl-Meyer score, BBS score, modified Barthel index score, PASS score were all significantly higher after the rehabilitation of 4 weeks and 8 weeks than those before the rehabilitation in all the 3 groups( P <0.01). After 4 weeks' rehabilitation, the Fugl-Meyer score, BBS score, modified Barthel index score, PASS score in the treatment group were all significantly higher than those in group A and B(P<0.01), while there was no significant difference between group A and B( P>0.05). After 8 weeks' rehabilitation, the FuglMeyer score, BBS score, modified Barthel index score, PASS score in the treatment group were all significantly higher than those in group A and B(P<0.01), while there was no significant difference between group A and B( P>0.05). Conclusion The rehabilitation training during Mao period time window could promote the recovery of movement function in patients with ischemic stroke.
Objective To study the effect of the rehabilitation training during Mao period time window on patients with ischemic stroke in the recovery of movement function. Methods 120 cases met the criteria for the ischemic stroke. Patients were randomly divided into three groups, and each group had 40 cases. The treatment group adopted functional recovery nursing during Mao period time window(5-7). Group A was given the functional recovery nursing between 9 a.m. to 11 a.m. time window. Group B was between 3 p.m. to 5 p.m. time window. Of three groups of patients after intervention, the Fugl-Meyer motor function evaluation was used to evaluate the moter function of lower limbs, with Berg balance scale to evaluate the balance function of patients, modified Barthel index to evaluate ability of daily living, and at the same time to evaluate the posture assessment of stroke scale(PASS). Results The Fugl-Meyer score, BBS score, modified Barthel index score, PASS score were all significantly higher after the rehabilitation of 4 weeks and 8 weeks than those before the rehabilitation in all the 3 groups( P <0.01). After 4 weeks' rehabilitation, the Fugl-Meyer score, BBS score, modified Barthel index score, PASS score in the treatment group were all significantly higher than those in group A and B(P<0.01), while there was no significant difference between group A and B( P>0.05). After 8 weeks' rehabilitation, the FuglMeyer score, BBS score, modified Barthel index score, PASS score in the treatment group were all significantly higher than those in group A and B(P<0.01), while there was no significant difference between group A and B( P>0.05). Conclusion The rehabilitation training during Mao period time window could promote the recovery of movement function in patients with ischemic stroke.
引文
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[7]孙延沙,许尤琪,陆建伟.从中医时间学角度观察寅卯时应用伊立替康迟发性腹泻发生情况的临床研究[J].江苏中医药,2013,45(10):33-34,35.
[2]中华神经科学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-380.
[3]Jacob Hart,Hava Kanner,Ronit Gilboa-Mayo,et a1.Tai Chi Chuan practice in community-dwelling person after stroke[J].Int J Rehabil Res,2004,27(4):303-304.
[4]方向,蔡忠民,陆晓培,等.中风急性期康复疗法与传统治疗的对比研究[J].心血管康复医学杂志,2003,12(1):10-13.
[5]恽晓平.康复疗法评定学[M].北京:华夏出版社,2005:432-434.
[6]喻腾云,吴艳华,孙寒静,等.缺血性脑卒中中医病因病机的层次关系[J].吉林中医药,2016,36(4):328-331.
[7]孙延沙,许尤琪,陆建伟.从中医时间学角度观察寅卯时应用伊立替康迟发性腹泻发生情况的临床研究[J].江苏中医药,2013,45(10):33-34,35.