Clinical effect of rehabilitation therapy on patients with cerebrovascular disease complicated with limb movement dysfunction
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摘要: 目的 研究和探讨康复训练治疗对脑血管病患者并发肢体运动功能障碍恢复效果,使患者尽早恢复生活能力。 方法 以杭州市第一人民医院2015年1月—2017年1月收治的120例患者的临床诊疗数据为案例,按照随机表法,将120名患者分为对照组(60例)和实验组(60例),对照组为常规疗法组,即药物治疗加肌肉电刺激疗法,实验组为在常规疗法的基础上进行康复肢体训练治疗,包括卧床期训练、坐站立训练、行走训练、日常生活训练、言语功能训练。实验组康复肢体训练每周5 d,2次/d,45 min/次。2组疗程均为12周。于治疗前后对肢体运动功能评定采用Fugl-Meyer积分评定法和对日常生活能力采用改良Barthel指数记分法评价患者的恢复情况,并记录相关数据。 结果 数据分析结果表明,实验组和对照组在治疗前后,肢体运动功能及ADL积分均有所提升(P<0.01),但实验组肢体运动功能及ADL积分均明显优于对照组,且2组数据差异具有统计学意义(P<0.01)。 结论 对脑血管病患者积极实施早期康复训练治疗,有利于患者运动神经反射弧的重建,可显著提升患者的恢复程度,减少治疗时间和经济成本。康复训练治疗对患者早日恢复其生活能力具有重要的意义。Abstract: Objective To study and discuss the effect of rehabilitation training on recovery of cerebrovascular disease in patients with limb motor dysfunction.To make patients recover as soon as possible. Methods According to the clinical data of 120 patients treated in our hospital,120 patients were divided into control group(60 cases) and experimental group(60 cases) according to random table method.The control group was the conventional treatment group,that is,drug therapy plus muscle electrical stimulation therapy.The experimental group was treated with rehabilitation exercises on the basis of routine treatment,including bed rest training,sitting and standing training,walking training,daily life training,speech function training.The treatment lasted for 12 weeks,and the experimental group received rehabilitation exercises 5 days a week,twice a day,and 45 min/times.Before and after treatment,the motor function of limbs was assessed by Fugl-Meyer integral evaluation method and the daily life ability was evaluated by the Modified Barthel index scoring method,and the related data were recorded. Results The results of data analysis showed that limb motor function and ADL scores are both improved in the experimental group and the control group(P<0.01),before and after the treatment.But the experimental group data is significantly better than the control group,and there is a significant difference between the two groups of data(P<0.01). Conclusion Early rehabilitation training for patients with cerebrovascular disease is beneficial for the reconstruction of the motor reflex arc,which can significantly improve the recovery of patients and reduce the treatment time and economic costs.Rehabilitation training is very important for patients to recover their living ability at an early date.
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Key words:
- Cerebrovascular disease /
- Limb movement disorder /
- Rehabilitation training
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