摘要
目的研究康复训练联合穴位按摩在脑梗死偏瘫患者中的应用效果.方法选取2020年1—12月该院收治的98例脑梗死偏瘫患者为研究对象,按照抽样法分为对照组与观察组,各49例.对照组采用康复训练,观察组采用康复训练联合穴位按摩.观察对比两组患者的生存质量、运动功能、日常生活能力、神经功能以及并发症发生情况.结果干预前,两组的躯体功能、心理状态、主观感受、社会参与评分比较,组间差异无统计学意义(P>0.05);干预后,两组的上述各项评分均显著高于各组干预前,且观察组的躯体功能、心理状态、主观感受、社会参与评分分别为(82.08±6.38)分、(74.18±6.18)分、(75.49±6.51)分、(79.62±6.58)分,均显著高于对照组,组间差异有统计学意义(P<0.05).干预前,两组的上、下肢运动功能评分、日常生活能力评分、神经功能评分比较,组间差异无统计学意义(P>0.05);干预后,两组的上述各项评分均显著优于各组干预前,且观察组的上肢运动功能、下肢运动功能、日常生活能力评分分别为(55.32±4.94)分、(29.78±3.51)分、(86.81±7.81)分,均显著高于对照组,神经功能评分为(9.62±1.18)分,显著低于对照组,组间差异有统计学意义(P<0.05).在并发症发生率上,观察组为4.08%,显著低于对照组的20.41%,差异有统计学意义(P<0.05).结论对脑梗死偏瘫患者实施康复训练联合穴位按摩,能够进一步改善患者的生存质量,提高患者的运动功能、日常生活能力及神经功能,降低并发症发生率,临床应用价值更高.
Objective To study the application effect of rehabilitation training combined with acupoint massage in patients with cerebral infarction and hemiplegia.Methods The 98 patients with cerebral infarction and hemiplegia admitted to the hospital from January to December 2020 were selected as the research objects.According to the sampling method,they were divided into a control group and an observation group,each group with 49 cases.The control group used rehabilitation training,and the observation group used rehabilitation training combined with acupoint massage.Observe and compare the quality of life,motor function,ability of daily living,neurological function and complications of the two groups of patients.Results Before the intervention,the physical function,mental state,subjective feeling,and social participation scores of the two groups were compared,and there was no statistically significant difference between the groups(P>0.05).After the intervention,the above scores of the two groups were significantly higher than those of each group before the intervention,and the physical function,mental state,subjective feelings,and social participation scores of the observation group were(82.08±6.38)points,(74.18±6.18)points,(75.49±6.51)points,and(79.62±6.58)points,respectively,which were significantly higher than those of the control group,the differences between the groups were statistically significant(P<0.05).Before the intervention,the upper and lower limb motor function scores,daily living ability scores,and neurological function scores were compared between the two groups,and there was no statistically significant difference between the groups(P>0.05).After the intervention,the above scores of the two groups were significantly better than those of each group before the intervention,and the scores of upper limb motor function,lower limb motor function,and ability of daily living in the observation group were(55.32±4.94)points,(29.78±3.51)points,and(86.81±7.81)points,which were significantly higher than those of the control group,the neurological function score was(9.62±1.18)points,which was significantly lower than that of the control group,the differences between the groups were statistically significant(P<0.05).In terms of complication rate,the observation group was 4.08%,which was significantly lower than the control group's 20.41%,and the difference was statistically significant(P<0.05).Conclusion Rehabilitation training combined with acupoint massage for patients with cerebral infarction and hemiplegia can further improve the patient's quality of life,improve the patient's motor function,ability of daily living and neurological function,reduce the incidence of complications,and have higher clinical application value.
作者
陈纪珍
CHEN Jizhen(Department of Brain Diseases,Yancheng Dafeng Hospital of Traditional Chinese Medicine,Yancheng Jiangsu,224100,China)
出处
《反射疗法与康复医学》
2021年第17期41-44,共4页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
偏瘫
康复训练
穴位按摩
生存质量
Cerebral infarction
Hemiplegia
Rehabilitation training
Acupoint massage
Quality of life
