良肢位摆放联合局部振动训练在脑卒中偏瘫患者中的应用及对患者运动功能的影响

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摘要目的探讨良肢位摆放联合局部振动训练在脑卒中偏瘫患者中的应用及对患者运动功能的影响。方法选取2018年6月～2019年6月辽宁省辽阳市中心医院收治的脑卒中偏瘫患者120 例作为研究对象，采用简单随机抽样法分为对照组（n=60）和研究组（n=60）。对照组采用局部振动训练，研究组采用良肢位摆放联合局部振动训练，两组均护理8 周。比较两组护理后的临床疗效、肢体功能评定、日常生活能力和并发症发生情况。结果护理后研究组患者的治疗有效率高于对照组，差异有统计学意义（P＜0.05）；两组护理前的简化Fugl-Meyer 量表（FMA）评分和Barthel 指数（BI）量表评分比较，差异无统计学意义（P＞0.05）；两组护理后的FMA 评分和BI 评分高于护理前，差异有统计学意义（P＜0.05）；护理后研究组的FMA 评分和BI 评分高于对照组，差异有统计学意义（P＜0.05）。护理后研究组的并发症总发生率低于对照组，差异有统计学意义（P＜0.05）。结论采用良肢位摆放联合局部振动训练用于脑卒中偏瘫患者具有较好的临床疗效。

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关键词 ：良肢位摆放, 局部振动训练, 脑卒中偏瘫患者, 临床疗效, 运动功能

Abstract：Objective To investigate the application of good limb position combined with local vibration training in patients with hemiplegia after stroke and its effect on motor function. Methods A total of 120 patients with stroke hemiplegia admitted to Liaoyang Central Hospital in Liaoning Province from June 2018 to June 2019 were selected as the research objects and assigned to the control group (n=60) and the study group (n=60) by simple random sampling. Patients in the control group received local vibration training, while patients in the study group received well-limbed placement combined with local vibration training, both groups were nursed for 8 weeks. The clinical efficacy, limb function evaluation, daily living ability and complications of patients of the two groups after nursing were compared between the two groups. Results After nursing, the effective rate of treatment in the study group was higher than that in the control group, and the difference was statistically significant (P＜0.05); there were no statistically significant differences in simplified fugl-meyer scale (FMA) score and Barthel index (BI) scale score before nursing care between the two groups (P＞0.05); after nursing, FMA score and BI score in the two groups were higher than those before nursing,the differences were statistically significant(P＜0.05); in addition, FMA score and BI score of the study group after nursing were higher than those of the control group, with statistically significant differences (P＜0.05); after nursing, the total incidence of complications in the study group was lower than that in the control group, the difference was statistically significant (P＜0.05). Conclusion The combination of good limb position and local vibration training for hemiplegia patients with stroke has a good clinical effect.

Key words： Good limb position Local vibration training Stroke patients with hemiplegia Clinical efficacy Motor function

引用本文:

崔婷. 良肢位摆放联合局部振动训练在脑卒中偏瘫患者中的应用及对患者运动功能的影响[J]. 中国当代医药, 2020, 27(28): 82-84.
CUI Ting. Application of good limb placement combined with local vibration training in stroke patients with hemiplegia and its effect on motor function. 中国当代医药, 2020, 27(28): 82-84.

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