脑卒中后偏瘫患者足下垂和内翻的康复治疗效果分析
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摘要
目的研究脑卒中后偏瘫患者出现足下垂和内翻后实施康复治疗的效果。方法研究时间:2015年8月—2017年12月,研究对象:该院收治的脑卒中后偏瘫患者86例,按随机信封法分为实验组(43例)、对照组(43例),对照组:自我锻炼,实验组:康复治疗,观察两组生活质量、日常生活能力、运动功能积分、住院时间、肌肉痉挛情况。结果实验组生活质量、日常生活能力、运动功能积分高于对照组,住院时间、肌肉痉挛情况(0级:4.65%vs 27.91%,χ~2=10.851,P=0.001;1级:30.23%vs 58.14%,χ~2=6.790,P=0.009;2级:30.23%vs 9.30%,χ~2=5.939,P=0.015;3级:26.19%vs 4.65%,χ~2=9.407,P=0.002;4级:9.30%vs 0.00%,χ~2=4.195,P=0.041)低于对照组(P<0.05)。结论脑卒中后偏瘫患者出现足下垂和内翻后实施康复治疗的效果显著,患者生活质量和日常生活能力明显恢复,值得临床推广借鉴。
Objective To study the effect of rehabilitation therapy after hemiplegia and varus in patients with hemiplegia after stroke. Methods Study time: August 2015 to December 2017, study subjects: 86 patients with post-stroke hemiplegia admitted to our hospital were divided into experimental group(43 cases) and control group(43 cases) according to random envelope method. Control group: self-exercise, experimental group: rehabilitation treatment, observe the quality of life, daily living ability, motor function score, hospitalization time, muscle spasm. Results The quality of life, daily living ability and motor function scores of the experimental group were higher than those of the control group,hospitalization time and muscle spasm(level 0: 4.65% vs 27.91%,χ~2=10.851, P= 0.001; level 1: 30.23% vs 58.14%, χ~2=6.790, P=0.009; Level 2: 30.23% vs 9.30%,χ~2=5.939, P=0.015; Level 3: 26.19% vs 4.65%, χ~2=9.407, P=0.002; Level 4 :9.30% vs 0.00%, χ~2=4.195, P=0.041) lower than the control group(P<0.05). Conclusion The effect of rehabilitation therapy after hemiplegia and varus in patients with hemiplegia after stroke is significant. The quality of life and daily living ability of the patients are obviously restored, which is worthy of clinical promotion.
Objective To study the effect of rehabilitation therapy after hemiplegia and varus in patients with hemiplegia after stroke. Methods Study time: August 2015 to December 2017, study subjects: 86 patients with post-stroke hemiplegia admitted to our hospital were divided into experimental group(43 cases) and control group(43 cases) according to random envelope method. Control group: self-exercise, experimental group: rehabilitation treatment, observe the quality of life, daily living ability, motor function score, hospitalization time, muscle spasm. Results The quality of life, daily living ability and motor function scores of the experimental group were higher than those of the control group,hospitalization time and muscle spasm(level 0: 4.65% vs 27.91%,χ~2=10.851, P= 0.001; level 1: 30.23% vs 58.14%, χ~2=6.790, P=0.009; Level 2: 30.23% vs 9.30%,χ~2=5.939, P=0.015; Level 3: 26.19% vs 4.65%, χ~2=9.407, P=0.002; Level 4 :9.30% vs 0.00%, χ~2=4.195, P=0.041) lower than the control group(P<0.05). Conclusion The effect of rehabilitation therapy after hemiplegia and varus in patients with hemiplegia after stroke is significant. The quality of life and daily living ability of the patients are obviously restored, which is worthy of clinical promotion.
引文
[1]邓海燕.踝关节矫形托在脑损伤致足下垂及足内翻偏瘫患者治疗中的应用价值[J].中国当代医药,2018,25(23)70-72.
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[7]李雪红,赵树平,王金平,等.软瘫期给予胫前肌及腓骨长短肌电针针刺疗法预防脑卒中后出现足下垂、足内翻的临床研究[J].中国医药科学,2016,6(16):43-45.
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[9]刘莉莉.综合康复治疗对脑卒中偏瘫康复疗效的影响[J]中国继续医学教育,2017,9(3):191-192.
[10]刘洋,宗涛.针灸、穴位按摩联合康复训练治疗气虚阻络型脑卒中后偏瘫43例[J].环球中医药,2017,10(2):231-234.
[11]胡庆华.早期综合康复治疗对脑卒中偏瘫患者ADL评分的影响研究[J].中外医学研究,2017,15(7):156-157.
[2]李江坤,张津华,赵春水.肌电生物反馈对脑卒中偏瘫伴有足下垂、足内翻患者的疗效观察[J].河南医学研究2018,27(13):2374-2375.
[3]赵娟,刘培乐,华艳,等.功能性电刺激、足踝矫形器对脑卒中后足下垂内翻患者即刻步行能力的影响[J].上海医药,2018,39(11):31-34.
[4]郭亮亮,钱竞光,邱永斌,等.动态电刺激在脑卒中后踝关节功能障碍居家康复中的应用研究[J].四川体育科学2017,36(5):38-42,67.
[5]薛燕萍,闫瑜.早期应用弹力矫形装置对脑卒中偏瘫足内翻、足下垂的影响[J].中国实用医药,2017,12(23):56-57.
[6]赵娟,张备,王凡,等.功能性电刺激对脑卒中后足下垂内翻患者运动功能的影响[J].中国运动医学杂志,2016,35(8):742-745.
[7]李雪红,赵树平,王金平,等.软瘫期给予胫前肌及腓骨长短肌电针针刺疗法预防脑卒中后出现足下垂、足内翻的临床研究[J].中国医药科学,2016,6(16):43-45.
[8]WANG Ning,SHAN Shou-qin.Effect of tourniquet assisted exercise therapy on walking function of patients with stroke after hemiplegia[J].Chinese Journal of Rehabilita tion Medicine,2016,31(7):793-795.
[9]刘莉莉.综合康复治疗对脑卒中偏瘫康复疗效的影响[J]中国继续医学教育,2017,9(3):191-192.
[10]刘洋,宗涛.针灸、穴位按摩联合康复训练治疗气虚阻络型脑卒中后偏瘫43例[J].环球中医药,2017,10(2):231-234.
[11]胡庆华.早期综合康复治疗对脑卒中偏瘫患者ADL评分的影响研究[J].中外医学研究,2017,15(7):156-157.