| 陈华丽,诸葛勤,朱轶锋,金根红,汪晶,曹露.多种感觉刺激疗法对老年脑梗死偏瘫患者神经和肢体运动功能康复的促进效果[J].中国临床保健杂志,2023,26(6):766-770. |
| 多种感觉刺激疗法对老年脑梗死偏瘫患者神经和肢体运动功能康复的促进效果 |
| Study on the effect of multiple sensory stimulation therapy on nerve and limb motor function rehabilitation in elderly patients with cerebral infarction and hemiplegia |
| 投稿时间：2023-08-20 |
| DOI：10.3969/J.issn.1672-6790.2023.06.011 |
| 中文关键词: 脑梗死 偏瘫 神经康复 运动疗法 物理刺激 老年人 |
| 英文关键词: Brain infarction Hemiplegia Neurological rehabilitation Exercise therapy Physical stimulation Aged 〖FL |
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| 中文摘要: |
| 目的 探讨多种感觉刺激疗法对老年脑梗死偏瘫患者神经、肢体运动功能康复的促进效果。方法 选择2020年6月至2023年1月金华市第五医院收治的78例老年脑梗死偏瘫患者,采用随机数字表法分为研究组、对照组,各39例。研究组接受多种感觉刺激疗法、对照组接受常规康复治疗,2组均治疗8周。比较2组治疗前及治疗8周后运动功能、脑氧代谢、运动耐力指标、神经纤维、神经细胞因子、健康行为评分,治疗8周后满意度。结果 与治疗前比较,治疗8周后2组脑氧摄取率、动静脉血氧含量差降低,且研究组更低(P<0.05)。较治疗前,治疗8周后2组肢体运动功能运动量表评分、Brunnstrom评分、Berg平衡量表评分、峰值摄氧量、无氧阈值水平,皮质脊髓束神经纤维数量,血清脑源性神经营养因子、血管内皮生长因子水平,健康责任、自我实现、运动锻炼、压力管理评分升高,且研究组更高(P<0.05)。治疗8周后,研究组总满意率更高(P<0.05)。结论 多种感觉刺激疗法可改善老年脑梗死偏瘫患者神经纤维及神经细胞因子,促进肢体运动功能康复,调节脑氧代谢、运动耐力指标,提高健康行为评分。 |
| 英文摘要: |
| Objective To analyze the effect of multiple sensory stimulation therapy on nerve and limb motor function rehabilitation in elderly patients with cerebral infarction and hemiplegia.Methods Seventy-eight elderly patients with cerebral infarction and hemiplegia treated in the Fifth Hospital of Jinhua from June 2020 to January 2023 were selected for study,and divided into the experimental group and the control group,39 cases each,using random number table method.The experimental group received multiple sensory stimulation therapy and the control group received conventional rehabilitation therapy.Both groups were treated for 8 weeks.Motor function,cerebral oxygen metabolism,exercise endurance index,nerve fiber,nerve cytokine,health behavior scores before and after 8 weeks of treatment,and satisfaction after 8 weeks of treatment were compared between the two groups.Results Compared with before treatment,after 8 weeks of treatment,the cerebral extraction of oxygen,arterialvenous oxygen content difference of the two groups decreased,which was lower in the experimental group (P<0.05).Compared with before treatment,after 8 weeks of treatment,the scores of Fugl-Meyer Assessment,Brunnstrom,Berg balance Scale,the levels of peak oxygen up take,anaerobic threshold,the number of nerve fibers in corticospinal tract,serum levels of brain-derived neurotrophic factor and vascular endothelial growth factor,health responsibility,self-actualization,exercise,stress management scores in the two groups increased,and the levels in the experimental group were higher (P<0.05).After 8 weeks of treatment,the total satisfaction rate of the experimental group was higher (P<0.05).Conclusions Multiple sensory stimulation therapy could improve nerve fibers and nerve cytokines in elderly patients with cerebral infarction and hemiplegia,promote the rehabilitation of limb motor function,regulate cerebral oxygen metabolism and exercise endurance index,and improve health behavior score. |
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