摘要
目的分析神经促通技术联合脑反射治疗对脑卒中患者运动功能恢复的影响.方法将2019年7月-2020年11月收治的80例脑卒中患者纳为研究对象,随机分为两组,每组40例.对照组采用传统康复治疗,观察组在对照组基础上采用神经促通技术结合脑反射治疗.比较两组疗效、治疗前后Fugl-Meyer运动功能评定(Fugl-Meyer assessment,FMA)评分、Berg平衡量表(Berg balance scale,BBS)评分、改良Barthel指数(modified Barthel index,MBI)评分以及美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)评分.结果观察组治疗总有效率87.50%明显高于对照组的70.00%,差异有统计学意义(P<0.05).两组治疗前的FMA、BBS、MBI评分比较,组间差异无统计学意义(P>0.05);观察组治疗后的FMA、BBS以及MBI评分均明显优于对照组,组间差异有统计学意义(P<0.05).两组患者治疗前的NIHSS评分比较,差异无统计学意义(P>0.05);观察组治疗后的NIHSS评分明显低于对照组,差异有统计学意义(P<0.05).结论对脑卒中患者使用神经促通技术联合脑反射治疗,可以获得较好的疗效,并能显著提高其运动功能水平,改善神经功能缺损情况,具有较高的临床推广价值.
Objective To analyze the effect of nerve facilitation technology combined with brain reflex therapy on the recovery of motor function of stroke patients.Methods The 80 stroke patients admitted to this hospital from July 2019 to November 2020 were selected for the study,and they were randomly divided into two groups,with 40 cases in each group.The control group used traditional rehabilitation therapy,and the observation group used nerve facilitation technology combined with brain reflex therapy on the basis of the control group.The efficacy,Fugl-Meyer assessment(FMA)score,Berg balance scale(BBS)score,modified Barthel index(MBI)score and the National Institute of Health stroke scale(NIHSS)score before and after treatment were compared between the two groups.Results The total effective rate of treatment in the observation group was 87.50%,which was significantly higher than 70.00%in the control group,and the difference was statistically significant(P<0.05).Before treatment,the FMA,BBS,MBI scores of the two groups was compared,and there was no statistically significant difference between the groups(P>0.05);the FMA,BBS and MBI scores of the observation group were significantly better than those of the control group after treatment,and the differences between the groups were statistically significant(P<0.05).There was no statistically significant difference in the NIHSS scores of the two groups of patients before treatment(P>0.05);the NIHSS score of the observation group after treatment was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The use of nerve facilitation technology combined with brain reflex therapy for stroke patients can achieve better curative effects,significantly improve their motor function level,improve neurological deficits,and have high clinical promotion value.
作者
张海鉴
尤梦奇
余祖耀
谢拔群
吴慧颜
ZHANG Haijian;YOU Mengqi;YU Zuyao;XIE Baqun;WU Huiyan(Department of Rehabilitation,The Second People's Hospital of Foshan City,Guangdong Province,Fashan Guangdong,528000,China;Department of Pediatrics,Maternal and Child Health Hospital,Nanhai District,Foshan City,Guangdong Province,Fashan Guangdong,528000,China)
出处
《反射疗法与康复医学》
2021年第13期140-143,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
运动功能障碍
神经促通技术
脑反射治疗
恢复
Stroke
Motor dysfunction
Nerve facilitation technique
Brain reflex therapy
Recovery
作者简介
张海鉴(1986-),男,湖北咸宁人,本科,主管治疗师,研究方向:神经促通技术在促进脑卒中患者恢复正常运动模式中的作用。
