心脏康复结合传统康复治疗对脑卒中患者的运动功能和日常生活能力的影响
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摘要
目的探讨心脏康复结合传统康复治疗对脑卒中患者的运动功能和日常生活能力的影响。方法选取2015年2月～2017年3月在我院进行治疗的100例脑卒中恢复期患者作为研究对象,通过随机数字表法分为对照组和观察组。对照组采用传统康复治疗方式,观察组在此基础上给予心脏康复治疗,对比临床疗效。结果两组患者经过治疗后,观察组患者的运动功能评分FMA、日常生活能力评分以及不良情绪均明显改善,两组对比差异具有统计学意义(P <0.05)。结论采用心脏康复结合传统康复治疗脑卒中患者能够明显提高运动功能和日常生活能力。
Objective To explore the effect of cardiac rehabilitation combined with traditional rehabilitation therapy on motor function and activities of daily living of stroke patients. Methods 100 patients with stroke in convalescent period who were treated in our hospital from February 2015 to March 2017 were selected. The patients were randomly and equally divided into control group and observation group by random number table. The control group was treated with traditional rehabilitation therapy while the observation group was given cardiac rehabilitation on the basis of it.Clinical curative effects were compared between two groups. Results After treatment, the FMA motor function score,activities of daily living score and bad mood of patients in the observation group were significantly improved. The difference between the two groups was significant, with statistically significance(P < 0.05). Conclusion Cardiac rehabilitation combined with traditional rehabilitation therapy in treatment of stroke patients can improve motor function and activities of daily living.
Objective To explore the effect of cardiac rehabilitation combined with traditional rehabilitation therapy on motor function and activities of daily living of stroke patients. Methods 100 patients with stroke in convalescent period who were treated in our hospital from February 2015 to March 2017 were selected. The patients were randomly and equally divided into control group and observation group by random number table. The control group was treated with traditional rehabilitation therapy while the observation group was given cardiac rehabilitation on the basis of it.Clinical curative effects were compared between two groups. Results After treatment, the FMA motor function score,activities of daily living score and bad mood of patients in the observation group were significantly improved. The difference between the two groups was significant, with statistically significance(P < 0.05). Conclusion Cardiac rehabilitation combined with traditional rehabilitation therapy in treatment of stroke patients can improve motor function and activities of daily living.
引文
[1]中华医学会神经病学分会.中国缺血性脑卒中和短暂性脑缺血发作二级预防指南(2014)[J].中华神经科杂志,2015,48(4):258-273.
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[8]林强,李雪萍,程凯,等.早期认知康复训练对脑卒中患者认知功能、运动功能和日常生活活动能力的影响[J].中国康复医学杂志,2015,30(12):1286-1288.
[9]张明,高晓盟,李宁,等.踏车训练结合功能性电刺激对脑卒中患者运动功能和日常生活活动能力的影响[J].中华物理医学与康复杂志,2017,39(9):655-658.
[10]窦娜,李丹,马素慧,等.根据Brunnstrom不同分期采用神经肌肉电刺激治疗偏瘫下肢的临床观察[J].中国老年学杂志,2016,36(15):3828-3829.
[11]杨世娟,刘霞,于丽月,等.脑梗死不同时期心率变异性的变化及对预后的影响[J].透析与人工器官,2016,27(2):13-16.
[12]杨坚,沈玉芹,李擎.脑卒中合并稳定性冠心病运动康复专家共识[J].中国康复医学杂志,2018(4):98.
[13]李擎,杨坚,范利,等.监控下持续靶强度有氧运动对脑卒中合并冠心病患者有氧代谢能力和体质指标的影响[J].中国康复医学杂志,2016,31(2):183-188.
[14]Pang MY,Charlesworth SA,Lau Rw,et al.Using aerobic exercise to improve health outcomes and quality of life in stroke:evidence-based exercise prescription recommendations[J].Cerebrovasc Dis,2013,35(1):7-22.
[15]郭洋洋,李义.头针同步进行MOTOmed训练对脑卒中偏瘫患者下肢功能的影响[J].中国医药导报,2018,15(1):106-108.
[2]陈伟伟,高润霖,刘力生,等.中国心血管病报告2017概要[J].中国循环杂志,2018,33:1-8.
[3]裴晋云,陈红霞.疏肝解郁法结合康复训练对脑卒中后偏瘫患者运动功能、日常生活活动能力和生活质量的影响[J].世界中西医结合杂志,2017,12(3):381-385.
[4]赵巧云,任平,周太平,等.康复护理结合重复经颅磁刺激对脑卒中病人运功功能、平衡功能及日常生活活动能力的影响[J].护理研究,2016,30(29):3686-3688.
[5]丁全娃,惠建萍.分期针刺联合康复治疗对脑卒中患者运动功能及日常生活能力的影响[J].青海医药杂志,2016(1):55-57.
[6]Kwon HQ,Lee J,Jang SH.Injury of the corticobulbar tract in patientswith dysarthria following cerebral infarct:diffiasion tensortractography study[J].Int JNeurosci,2016,126(4):361-365.
[7]陈红霞,杨志敬,潘锐焕,等.中西医结合康复方案对脑卒中后偏瘫患者运动功能、日常生活活动能力和生活质量的影响[J].中国中西医结合杂志,2016,36(4):395-398.
[8]林强,李雪萍,程凯,等.早期认知康复训练对脑卒中患者认知功能、运动功能和日常生活活动能力的影响[J].中国康复医学杂志,2015,30(12):1286-1288.
[9]张明,高晓盟,李宁,等.踏车训练结合功能性电刺激对脑卒中患者运动功能和日常生活活动能力的影响[J].中华物理医学与康复杂志,2017,39(9):655-658.
[10]窦娜,李丹,马素慧,等.根据Brunnstrom不同分期采用神经肌肉电刺激治疗偏瘫下肢的临床观察[J].中国老年学杂志,2016,36(15):3828-3829.
[11]杨世娟,刘霞,于丽月,等.脑梗死不同时期心率变异性的变化及对预后的影响[J].透析与人工器官,2016,27(2):13-16.
[12]杨坚,沈玉芹,李擎.脑卒中合并稳定性冠心病运动康复专家共识[J].中国康复医学杂志,2018(4):98.
[13]李擎,杨坚,范利,等.监控下持续靶强度有氧运动对脑卒中合并冠心病患者有氧代谢能力和体质指标的影响[J].中国康复医学杂志,2016,31(2):183-188.
[14]Pang MY,Charlesworth SA,Lau Rw,et al.Using aerobic exercise to improve health outcomes and quality of life in stroke:evidence-based exercise prescription recommendations[J].Cerebrovasc Dis,2013,35(1):7-22.
[15]郭洋洋,李义.头针同步进行MOTOmed训练对脑卒中偏瘫患者下肢功能的影响[J].中国医药导报,2018,15(1):106-108.