穴位按摩法配合康復訓練對腦卒中單側(cè)忽略患者的效果評價
發(fā)布時間：2018-12-14 14:31
【摘要】：目的探討穴位按摩法配合常規(guī)康復訓練對腦卒中單側(cè)忽略患者的效果,討論其可能的機制,并通過實踐驗證前人理論,為臨床單側(cè)忽略患者的康復治療護理方法提供參考依據(jù)。方法根據(jù)文獻資料,按照腦卒中單側(cè)忽略診斷標準對2015年3月-2016年12月遼寧省三所三甲醫(yī)院康復科住院的腦卒中后偏癱患者進行神經(jīng)心理學評測,確定158例右大腦半球卒中后單側(cè)空間忽略患者納入研究,采用半隨機抽樣方法分為兩組:實驗組79例和對照組79例;對照組給予傳統(tǒng)的康復訓練和康復指導,實驗組除常規(guī)傳統(tǒng)的康復訓練和康復指導外由護士給予穴位按摩,并分別在治療前及康復8周后對患者進行USN評定及給予Bathel指數(shù)評分(BI)、Fugl-Meyer運動功能評定(FMA)和簡易精神狀態(tài)檢查(MMSE),并比較兩組治療效果。采用SPSS17.0軟件進行統(tǒng)計學分析,計量資料用均數(shù)標準差((X|-)±S)來表示,采用t檢驗來進行比較,計數(shù)資料比較采用X2檢驗,P㩳0.05為差異有統(tǒng)計學意義。結(jié)果1、8周康復治療后,給予對照組患者USN評定,USN評定結(jié)果,二等分線段和臨摹實驗評定有統(tǒng)計學意義(P0.05);給予Bathel指數(shù)評分(BI)、Fugl-Meyer運動功能評定(FMA)和簡易精神狀態(tài)檢查(MMSE),各項評分較治療前均有統(tǒng)計學意義(P0.05)。2、8周康復治療后,給予實驗組患者USN評定,USN評定結(jié)果,二等分線段,劃削實驗,畫鐘實驗和臨摹實驗評定均有統(tǒng)計學意義(P0.05);給予Bathel指數(shù)評分(BI)、Fugl-Meyer運動功能評定(FMA)和簡易精神狀態(tài)檢查(MMSE),各項評分較治療前均有統(tǒng)計學意義(P0.05)。3、8周康復治療后,兩組間比較,實驗組USN評定恢復程度優(yōu)于對照組,有統(tǒng)計學意義(P0.05);實驗組Bathel指數(shù)評定(BI)、Fugl-Meyer運動功能評定(FMA)和簡易精神狀態(tài)檢查(MMSE)評定恢復程度優(yōu)于對照組,有統(tǒng)計學意義(P0.05)。結(jié)論1、穴位按摩法配合康復訓練8周后,能有效的改善腦卒中患者單側(cè)忽略程度,并且改善程度明顯強于傳統(tǒng)康復治療;2、穴位按摩法配合康復訓練8周后能顯著改善患者運動功能、日常生活活動能力和認知水平,改善程度明顯強于傳統(tǒng)康復治療。
[Abstract]:Objective to explore the effect of acupoint massage combined with routine rehabilitation training on stroke patients with unilateral neglect, discuss its possible mechanism, and verify the previous theories through practice, and provide reference for the nursing methods of clinical unilateral neglect patients. Methods according to the data of literature and according to the criteria of unilateral neglect diagnosis of stroke, neuropsychological evaluation was performed on the patients with hemiplegia after stroke in the rehabilitation department of three Grade A hospitals in Liaoning Province from March 2015 to December 2016. One hundred and fifty-eight patients with unilateral spatial neglect after stroke in the right hemisphere were selected and divided into two groups by semi-random sampling: experimental group (79 cases) and control group (79 cases); The control group was given traditional rehabilitation training and rehabilitation guidance, and the experimental group was given acupoint massage by nurses in addition to conventional rehabilitation training and rehabilitation guidance. The patients were evaluated with USN before treatment and 8 weeks after rehabilitation. The patients were evaluated with Bathel index (BI), Fugl-Meyer motor function (FMA) and simple mental state (MMSE), respectively and the therapeutic effects were compared between the two groups. The statistical analysis was carried out by SPSS17.0 software. The measurement data were expressed by the mean standard deviation (X-鹵S), the t test was used to compare the count data, and the X2 test was used to compare the count data, and the difference was statistically significant. Results 1After rehabilitation for 8 weeks, the patients in the control group were given USN evaluation, USN evaluation results, secondary shunt segment and copying experiment evaluation (P0.05); The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks of rehabilitation, the patients in the experimental group were assessed with USN. The results of USN evaluation, second-grade shunt section, cutting experiment, clock drawing experiment and copying experiment all had statistical significance (P0.05). The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and simple mental state examination (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks rehabilitation treatment, there was a significant difference between the two groups. The degree of USN recovery in the experimental group was better than that in the control group (P0.05). The recovery degree of Bathel index in experimental group was better than that in control group in evaluating (BI), Fugl-Meyer motor function (FMA) and simple mental state examination (MMSE) (P0.05). Conclusion 1. Acupoint massage combined with rehabilitation training for 8 weeks can effectively improve the degree of unilateral neglect in stroke patients, and the improvement degree is obviously stronger than that of traditional rehabilitation therapy. 2. Acupoint massage combined with rehabilitation training for 8 weeks could significantly improve patients' motor function, activity of daily life and cognitive level, and the degree of improvement was obviously stronger than that of traditional rehabilitation therapy.
【學位授予單位】：錦州醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R743.3
本文編號：2378763
[Abstract]:Objective to explore the effect of acupoint massage combined with routine rehabilitation training on stroke patients with unilateral neglect, discuss its possible mechanism, and verify the previous theories through practice, and provide reference for the nursing methods of clinical unilateral neglect patients. Methods according to the data of literature and according to the criteria of unilateral neglect diagnosis of stroke, neuropsychological evaluation was performed on the patients with hemiplegia after stroke in the rehabilitation department of three Grade A hospitals in Liaoning Province from March 2015 to December 2016. One hundred and fifty-eight patients with unilateral spatial neglect after stroke in the right hemisphere were selected and divided into two groups by semi-random sampling: experimental group (79 cases) and control group (79 cases); The control group was given traditional rehabilitation training and rehabilitation guidance, and the experimental group was given acupoint massage by nurses in addition to conventional rehabilitation training and rehabilitation guidance. The patients were evaluated with USN before treatment and 8 weeks after rehabilitation. The patients were evaluated with Bathel index (BI), Fugl-Meyer motor function (FMA) and simple mental state (MMSE), respectively and the therapeutic effects were compared between the two groups. The statistical analysis was carried out by SPSS17.0 software. The measurement data were expressed by the mean standard deviation (X-鹵S), the t test was used to compare the count data, and the X2 test was used to compare the count data, and the difference was statistically significant. Results 1After rehabilitation for 8 weeks, the patients in the control group were given USN evaluation, USN evaluation results, secondary shunt segment and copying experiment evaluation (P0.05); The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks of rehabilitation, the patients in the experimental group were assessed with USN. The results of USN evaluation, second-grade shunt section, cutting experiment, clock drawing experiment and copying experiment all had statistical significance (P0.05). The scores of Bathel index, (BI), Fugl-Meyer motor function, (FMA) and simple mental state examination (MMSE), were significantly higher than those before treatment (P0.05). After 8 weeks rehabilitation treatment, there was a significant difference between the two groups. The degree of USN recovery in the experimental group was better than that in the control group (P0.05). The recovery degree of Bathel index in experimental group was better than that in control group in evaluating (BI), Fugl-Meyer motor function (FMA) and simple mental state examination (MMSE) (P0.05). Conclusion 1. Acupoint massage combined with rehabilitation training for 8 weeks can effectively improve the degree of unilateral neglect in stroke patients, and the improvement degree is obviously stronger than that of traditional rehabilitation therapy. 2. Acupoint massage combined with rehabilitation training for 8 weeks could significantly improve patients' motor function, activity of daily life and cognitive level, and the degree of improvement was obviously stronger than that of traditional rehabilitation therapy.
【學位授予單位】：錦州醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R743.3
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