提高腦卒中偏癱康復(fù)療效中應(yīng)用雙側(cè)肢體功能訓(xùn)練的效果分析

[摘要] 目的 探討提高腦卒中偏癱康復(fù)療效中應(yīng)用雙側(cè)肢體功能訓(xùn)練的效果。方法 于2017年3月—2019年1月方便選取該院80例腦卒中偏癱患者為研究對(duì)象，實(shí)施單側(cè)肢體功能訓(xùn)練的40例納入對(duì)照組，另40例實(shí)施雙側(cè)肢體功能訓(xùn)練納入試驗(yàn)組。對(duì)比兩組患者的運(yùn)動(dòng)功能評(píng)分變化情況，比較兩組患者日常生活活動(dòng)能力評(píng)分變化情況，并比較兩組患者的醫(yī)療服務(wù)滿意度。結(jié)果 入院時(shí)兩組患者運(yùn)動(dòng)功能評(píng)分及日常生活活動(dòng)能力評(píng)分對(duì)比差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05），1個(gè)月后及3個(gè)月后的評(píng)分對(duì)比均以試驗(yàn)組評(píng)分更高，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。試驗(yàn)組滿意度為95.00%，高于對(duì)照組的77.50%，差異有統(tǒng)計(jì)學(xué)意義（χ2=5.165，P=0.023）。結(jié)論 腦卒中偏癱康復(fù)治療中雙側(cè)肢體功能訓(xùn)練的應(yīng)用效果較好，能更好地促使患者運(yùn)動(dòng)功能和日常生活活動(dòng)能力提升，臨床價(jià)值較高。

[關(guān)鍵詞] 腦卒中偏癱;康復(fù)療效;雙側(cè)肢體功能訓(xùn)練;應(yīng)用效果

[中圖分類(lèi)號(hào)] R4? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742（2020）06（c）-0050-04

Analysis of the Effect of Applying Bilateral Limb Function Training in Improving the Curative Effect of Stroke Hemiplegia

ZHAO Zong-min

Department of Rehabilitation， Beijing Pinggu District Hospital， Beijing， 101200 China

[Abstract] Objective To discuss the effect of applying bilateral limb function training in improving the curative effect of stroke hemiplegia. Methods From March 2017 to January 2019， Convenient selection of 80 patients with stroke and hemiplegia in the hospital， 40 cases of unilateral limb function training were included in the control group， and another 40 cases of bilateral limb function training were included in the experimental group. Compare the changes in motor function scores of the two groups of patients， compare the changes in the scores of daily life activities of the two groups of patients， and compare the medical service satisfaction of the two groups of patients. Results At admission， there was no statistically significant difference in the scores of motor function and daily life activities between the two groups（P>0.05）. The score comparison after 1 month and 3 months was higher in the test group， and the difference was statistically significant（P<0.05）. The satisfaction rate of the test group was 95.00%， which was higher than that of the control group 77.50%. The difference was statistically significant （χ2=5.165， P=0.023）. Conclusion The application of bilateral limb function training in stroke hemiplegia rehabilitation therapy is better， it can better promote the improvement of patients' motor function and daily life activities， and the clinical value is higher.

[Key words] Stroke hemiplegia; Rehabilitation effect; Bilateral limb function training; Application effect

腦卒中是臨床上常見(jiàn)的腦血管疾病，其具有較高的致殘率和病死率，及時(shí)有效的治療通常能讓患者的生存率得到提升，但患者經(jīng)搶救后仍有較高的幾率出現(xiàn)偏癱的情況[1]。患者在發(fā)生偏癱后患側(cè)肢體功能喪失，無(wú)法開(kāi)展正?；顒?dòng)導(dǎo)致其生活質(zhì)量持續(xù)下降，并且會(huì)因?yàn)殚L(zhǎng)期臥床而增加壓瘡等并發(fā)癥的發(fā)生風(fēng)險(xiǎn)，還會(huì)導(dǎo)致患者的心理受到嚴(yán)重打擊[2]。綜合康復(fù)治療是目前臨床上用于腦卒中患者治療的主要方法，以患者的身體狀況為基礎(chǔ)，給予其藥物治療并指導(dǎo)其開(kāi)展康復(fù)訓(xùn)練，以此促使其恢復(fù)速度及恢復(fù)效果提升。常規(guī)康復(fù)訓(xùn)練通常以患側(cè)肢體的訓(xùn)練為主，但實(shí)踐表明雙側(cè)訓(xùn)練可能取得更好的效果。因此，該研究2017年3月—2019年1月方便選取80例腦卒中偏癱患者，觀察雙側(cè)肢體功能訓(xùn)練對(duì)患者康復(fù)療效的影響，現(xiàn)報(bào)道如下。