摘要
目的探讨铜砭刮痧联合Bobath平衡训练法对脑卒中后偏瘫患者神经功能、运动功能及生活质量的影响.方法选取2020年1月—2022年12月该院收治的70例脑卒中后偏瘫患者为研究对象,应用随机数字表法将其分为对照组和联合组,各35例.对照组采取Bobath平衡训练法进行干预,联合组采取铜砭刮痧联合Bobath平衡训练法进行干预,对比两组康复效果、神经功能、下肢运动功能、平衡功能、步态参数及生活质量.结果联合组康复总有效率为97.14%,高于对照组的80.00%,差异有统计学意义(P<0.05);干预后,两组美国国立卫生研究院卒中量表评分均较干预前降低,且联合组低于对照组,Fugl-Meyer运动功能评定量表、Berg平衡量表评分均较干预前升高,且联合组高于对照组,差异有统计学意义(P<0.05);干预后,两组步长均延长,步频均增多,步行速度均加快,且联合组步长长于对照组,步频多于对照组,步行速度快于对照组,差异有统计学意义(P<0.05);干预后,两组世界卫生组织生存质量测定量表简表中心理、生理、环境、社会相关评分均较干预前升高,且联合组高于对照组,差异有统计学意义(P<0.05).结论铜砭刮痧联合Bobath平衡训练法对脑卒中后偏瘫康复干预效果显著,可改善患者神经功能、运动功能和平衡能力,提升其步行能力,改善患者生活质量.
Objective To explore the effects of scraping with copper bianstone combined with Bobath balance training on nerve function,motor function and quality of life in patients with hemiplegia after stroke.Methods 70 patients with hemiplegia after stroke in this hospital from January 2020 to December 2022 were selected as the research objects,and they were divided into a control group and a combined group by random number table method,35 cases in each group.The control group was intervened with Bobath balance training,and the combined group was intervened with copper bianstone scraping combined with Bobath balance training.The rehabilitation effect,neurological function,lower limb motor function,balance function,gait parameters and quality of life were compared between the two groups.Results The total effective rate of rehabilitation in the combined group was 97.14%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05);after intervention,the National Institute of Health Stroke Scale scores of the two groups were higher than before infervention,and the scores of Fugl-Meyer Assessment and Berg Balance Scale of the combined group were higher than those of the control group,and the differences were statistically significant(P<0.05);after the intervention,the step length of the two groups was prolonged,the step frequency was increased,and the walking speed was accelerated.The step length of the combined group was longer than that of the control group,the step frequency was more than that of the control group,and the walking speed was faster than that of the control group,and the differences were statistically significant(P<0.05);after intervention,the scores of psychological,physiological,environmental and social aspects of the World Health Organization Quality of Life Brief Scale of the two groups were higher than before infervention,and those of the combined group were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Tongbian scraping combined with Bobath balance training has significant effect on the rehabilitation of hemiplegia after stroke,which can improve the neurological function,motor function and balance ability of patients,improve their walking ability,and improve the quality of life of patients.
作者
马坤豪
MA Kunhao(Department of Rehabilitation,The Third Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou Henan,450000,China)
出处
《反射疗法与康复医学》
2023年第15期30-34,共5页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
偏瘫
铜砭刮痧
Bobath平衡训练法
神经功能
Stroke
Hemiplegia
Copper needle scraping
Bobath balance training method
Neurological function
作者简介
马坤豪(1990-),女,河南商丘人,本科,初级护师,研究方向:康复护理。
