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综合康复治疗对脑卒中偏瘫患者动态肌电图及日常生活活动能力的影响 被引量:1

Effects of Comprehensive Rehabilitation Treatment on Dynamic Electromyography and Activities of Daily Living in Stroke Patients with Hemiplegia
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摘要 目的探讨综合康复治疗对脑卒中偏瘫患者动态肌电图及日常生活活动能力的影响.方法选取本院2019年1月—2021年9月收治的脑卒中偏瘫患者126例,按随机数字表法分为对照组与观察组,各63例.对照组采用基础康复治疗,观察组在此基础上采用综合康复治疗,均治疗6个月.比较两组治疗前后的动态肌电图水平、改良巴氏指数量表(MBI)评分及生活满意度.结果治疗6个月后,观察组的肱二头肌、腓肠肌协同收缩率均低于对照组,组间差异有统计学意义(P<0.05).治疗6个月后,观察组的MBI评分为(78.64±7.23)分,生活满意度为92.06%,均高于对照组,组间差异有统计学意义(P<0.05).结论综合康复治疗能改善脑卒中偏瘫患者的动态肌电图表现及日常生活活动能力,提高其生活满意度. Objective To explore the effect of comprehensive rehabilitation treatment on dynamic electromyography and activities of daily living of stroke patients with hemiplegia.Methods A total of 126 stroke hemiplegic patients admitted to our hospital from January 2019 to September 2021 were selected and were divided into a control group and an observation group according to the random number table method,with 63 cases in each group.The control group received basic rehabilitation treatment,while the observation group received comprehensive rehabilitation treatment on this basis.Both groups were treated for 6 months.The levels of dynamic electromyography,modified Barthel index(MBI)score and life satisfaction were compared between the two groups before and after treatment.Results After 6 months of treatment,the cooperative contraction rates of biceps brachii and gastrocnemius muscle in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).After 6 months of treatment,the MBI score of the observation group was(78.64±7.23)points,and the life satisfaction was 92.06%,which were higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Comprehensive rehabilitation treatment can improve the performance of dynamic electromyography and activities of daily living in stroke patients with hemiplegia,and improve their life satisfaction.
作者 陈新 程丽兰 张潇文 李林娟 CHEN Xin;CHENG Lilan;ZHANG Xiaowen;LI Linjuan(Department of General Practice,Peking University Shougang Hospital,Beijing,100144;Department of Rehabilitation Medicine,Peking University Shougang Hospital,Beijing,100144,China)
出处 《反射疗法与康复医学》 2022年第16期159-162,共4页 Reflexology And Rehabilitation Medicine
关键词 脑卒中 偏瘫 综合康复治疗 动态肌电图 日常生活活动能力 Stroke Hemiplegia Comprehensive rehabilitation treatment Dynamic electromyography Activity of daily living ability
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