Objective To observe influence of early rehabilitation intervention on motor function of acute stroke patients with severe hemiplegia.Method We evaluate 58 cases of acute stroke with severe hemiplegia with FMA method ...Objective To observe influence of early rehabilitation intervention on motor function of acute stroke patients with severe hemiplegia.Method We evaluate 58 cases of acute stroke with severe hemiplegia with FMA method and Barthel index, observe influence of early rehabilitation intervention on recovery of motor function.Result Motor function after treatment was promoted apparently compared with control group(P< 0.05).Conclusion Early rehabilitation intervention can promote motor function recovery of acute stroke patients with severe hemiplegia.展开更多
Major ozonated autohemotherapy is classically used in treating ischemic disorder of the lower limbs In the present study, we performed major ozonated autohemotherapy treatment in patients with acute cerebral infarctio...Major ozonated autohemotherapy is classically used in treating ischemic disorder of the lower limbs In the present study, we performed major ozonated autohemotherapy treatment in patients with acute cerebral infarction, and assessed outcomes according to the U.S. National Institutes of Health Stroke Score, Modified Rankin Scale, and transcranial magnetic stimulation motor-evoked potential. Compared with the control group, the clinical total effective rate and the cortical potential rise rate of the upper limbs were significantly higher, the central motor conduction time of upper limb was significantly shorter, and the upper limb motor-evoked potential amplitude was significantly increased, in the ozone group. In the ozone group, the National Institutes of Health Stroke Score was positively correlated with the central motor conduction time and the motor-evoked potential amplitude of the upper limb. Central motor conduction time and motor-evoked potential amplitude of the upper limb may be effective indicators of motor-evoked potentials to assess upper limb motor function in cerebral infarct patients. Furthermore, major ozonated autohemotherapy may promote motor function recovery of the upper limb in patients with acute cerebral infarction.展开更多
目的探究通里化瘀醒脑汤联合下肢穴位针刺提升脑卒中患者生存质量效果。方法研究纳入113例脑卒中患者,均由医院2021年1月—2022年12月收治,并以随机数字表法分为观察组与对照组,对照组患者(56例)常规临床治疗,观察组患者(57例)在对照组...目的探究通里化瘀醒脑汤联合下肢穴位针刺提升脑卒中患者生存质量效果。方法研究纳入113例脑卒中患者,均由医院2021年1月—2022年12月收治,并以随机数字表法分为观察组与对照组,对照组患者(56例)常规临床治疗,观察组患者(57例)在对照组治疗基础上联合通里化瘀醒脑汤及下肢穴位针刺治疗,比较两组患者疗效、并发症、治疗前及治疗后患者中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)变化及神经功能缺损评分(National Institute of Health stroke scale,NIHSS)变化、Brunel平衡量表(Brunel Balance Assessment,BBA)评分变化、运动功能评分(Fugl-Meyer motor function assessment,FMA)变化、生活质量评分(Barthel index,Barthel)、患者治疗满意度。结果较对照组(71.43%),观察组患者有效率(87.72%)更高,P<0.05;观察组与对照组患者并发症率比较(1.75%vs 12.50%),P<0.05;观察组与对照组治疗前中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分相当,P>0.05,治疗后各组患者中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分均改善,观察组患者治疗后中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分均优于对照组,P<0.05;观察组患者治疗满意率(96.49%)高于对照组(82.14%),P<0.05。结论通里化瘀醒脑汤联合下肢穴位针刺可显著提升脑卒中患者临床疗效及生活质量、运动功能,患者并发症率降低,恢复好,满意率高。展开更多
目的探讨任务导向性训练与扶正补土针灸在脑梗死偏瘫患者康复治疗中的应用效果。方法通过便利序贯采集法选取2021年6月—2023年6月于山东大学第五人民医院中医康复科就诊的75例脑梗死偏瘫患者随机分为对照组(n=37)与观察组(n=38)。对照组...目的探讨任务导向性训练与扶正补土针灸在脑梗死偏瘫患者康复治疗中的应用效果。方法通过便利序贯采集法选取2021年6月—2023年6月于山东大学第五人民医院中医康复科就诊的75例脑梗死偏瘫患者随机分为对照组(n=37)与观察组(n=38)。对照组执行任务导向性训练,观察组基于对照组另执行扶正补土针灸疗法。记录并对比2组患者治疗前后神经功能、核心肌群功能、平衡能力、上下肢运动功能、6 min步行距离及生活质量的改变情况。结果治疗后,观察组美国国立卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)评分为(9.33±1.47)分,低于对照组的(11.19±1.23)分,观察组姿势控制量表(postural assessment scale for stroke patients,PASS)与Berg平衡量表(Berg balance scale,BBS)评分分别为(30.13±2.32)分、(41.46±3.61)分,均高于对照组的(27.38±2.56)分、(36.17±3.49)分,差异有统计学意义(P<0.05)。观察组上肢、下肢功能评分分别为(55.54±6.05)分、(29.74±3.18)分,均高于对照组的(49.63±5.82)分、(26.29±2.94)分,观察组6 min步行距离为(298.57±27.15)m,远于对照组的(281.42±24.57)m,差异有统计学意义(P<0.05)。观察组躯体功能、心理功能、物质生活、社会功能评分分别为(75.15±5.87)分、(76.91±4.65)分、(79.05±4.71)分、(78.29±5.13)分,均高于对照组的(69.31±7.76)分、(70.16±3.28)分、(73.34±2.17)分、(70.20±1.18)分,差异有统计学意义(P<0.05)。结论脑梗死偏瘫康复干预中采用任务导向性训练与扶正补土针灸治疗对其神经功能以及核心肌群功能有调节效果,有利于患者重建肢体运动功能与平衡能力,对预后质量的优化效果显著。展开更多
文摘Objective To observe influence of early rehabilitation intervention on motor function of acute stroke patients with severe hemiplegia.Method We evaluate 58 cases of acute stroke with severe hemiplegia with FMA method and Barthel index, observe influence of early rehabilitation intervention on recovery of motor function.Result Motor function after treatment was promoted apparently compared with control group(P< 0.05).Conclusion Early rehabilitation intervention can promote motor function recovery of acute stroke patients with severe hemiplegia.
基金supported by the Guangdong Province Medical Science Research Fund, No. B200258
文摘Major ozonated autohemotherapy is classically used in treating ischemic disorder of the lower limbs In the present study, we performed major ozonated autohemotherapy treatment in patients with acute cerebral infarction, and assessed outcomes according to the U.S. National Institutes of Health Stroke Score, Modified Rankin Scale, and transcranial magnetic stimulation motor-evoked potential. Compared with the control group, the clinical total effective rate and the cortical potential rise rate of the upper limbs were significantly higher, the central motor conduction time of upper limb was significantly shorter, and the upper limb motor-evoked potential amplitude was significantly increased, in the ozone group. In the ozone group, the National Institutes of Health Stroke Score was positively correlated with the central motor conduction time and the motor-evoked potential amplitude of the upper limb. Central motor conduction time and motor-evoked potential amplitude of the upper limb may be effective indicators of motor-evoked potentials to assess upper limb motor function in cerebral infarct patients. Furthermore, major ozonated autohemotherapy may promote motor function recovery of the upper limb in patients with acute cerebral infarction.
文摘目的探究通里化瘀醒脑汤联合下肢穴位针刺提升脑卒中患者生存质量效果。方法研究纳入113例脑卒中患者,均由医院2021年1月—2022年12月收治,并以随机数字表法分为观察组与对照组,对照组患者(56例)常规临床治疗,观察组患者(57例)在对照组治疗基础上联合通里化瘀醒脑汤及下肢穴位针刺治疗,比较两组患者疗效、并发症、治疗前及治疗后患者中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)变化及神经功能缺损评分(National Institute of Health stroke scale,NIHSS)变化、Brunel平衡量表(Brunel Balance Assessment,BBA)评分变化、运动功能评分(Fugl-Meyer motor function assessment,FMA)变化、生活质量评分(Barthel index,Barthel)、患者治疗满意度。结果较对照组(71.43%),观察组患者有效率(87.72%)更高,P<0.05;观察组与对照组患者并发症率比较(1.75%vs 12.50%),P<0.05;观察组与对照组治疗前中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分相当,P>0.05,治疗后各组患者中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分均改善,观察组患者治疗后中医证候积分(神昏谵语、口舌歪斜、半身不遂、心悸气短、面色无华等)及NIHSS评分、BBA评分、FMA评分及Barthel指数评分均优于对照组,P<0.05;观察组患者治疗满意率(96.49%)高于对照组(82.14%),P<0.05。结论通里化瘀醒脑汤联合下肢穴位针刺可显著提升脑卒中患者临床疗效及生活质量、运动功能,患者并发症率降低,恢复好,满意率高。
文摘目的探讨任务导向性训练与扶正补土针灸在脑梗死偏瘫患者康复治疗中的应用效果。方法通过便利序贯采集法选取2021年6月—2023年6月于山东大学第五人民医院中医康复科就诊的75例脑梗死偏瘫患者随机分为对照组(n=37)与观察组(n=38)。对照组执行任务导向性训练,观察组基于对照组另执行扶正补土针灸疗法。记录并对比2组患者治疗前后神经功能、核心肌群功能、平衡能力、上下肢运动功能、6 min步行距离及生活质量的改变情况。结果治疗后,观察组美国国立卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)评分为(9.33±1.47)分,低于对照组的(11.19±1.23)分,观察组姿势控制量表(postural assessment scale for stroke patients,PASS)与Berg平衡量表(Berg balance scale,BBS)评分分别为(30.13±2.32)分、(41.46±3.61)分,均高于对照组的(27.38±2.56)分、(36.17±3.49)分,差异有统计学意义(P<0.05)。观察组上肢、下肢功能评分分别为(55.54±6.05)分、(29.74±3.18)分,均高于对照组的(49.63±5.82)分、(26.29±2.94)分,观察组6 min步行距离为(298.57±27.15)m,远于对照组的(281.42±24.57)m,差异有统计学意义(P<0.05)。观察组躯体功能、心理功能、物质生活、社会功能评分分别为(75.15±5.87)分、(76.91±4.65)分、(79.05±4.71)分、(78.29±5.13)分,均高于对照组的(69.31±7.76)分、(70.16±3.28)分、(73.34±2.17)分、(70.20±1.18)分,差异有统计学意义(P<0.05)。结论脑梗死偏瘫康复干预中采用任务导向性训练与扶正补土针灸治疗对其神经功能以及核心肌群功能有调节效果,有利于患者重建肢体运动功能与平衡能力,对预后质量的优化效果显著。
