穴位按摩法配合康復(fù)訓(xùn)練對(duì)腦卒中單側(cè)忽略患者的效果評(píng)價(jià)
發(fā)布時(shí)間：2018-12-14 14:31
【摘要】：目的探討穴位按摩法配合常規(guī)康復(fù)訓(xùn)練對(duì)腦卒中單側(cè)忽略患者的效果,討論其可能的機(jī)制,并通過(guò)實(shí)踐驗(yàn)證前人理論,為臨床單側(cè)忽略患者的康復(fù)治療護(hù)理方法提供參考依據(jù)。方法根據(jù)文獻(xiàn)資料,按照腦卒中單側(cè)忽略診斷標(biāo)準(zhǔn)對(duì)2015年3月-2016年12月遼寧省三所三甲醫(yī)院康復(fù)科住院的腦卒中后偏癱患者進(jìn)行神經(jīng)心理學(xué)評(píng)測(cè),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(jī)抽樣方法分為兩組:實(shí)驗(yàn)組79例和對(duì)照組79例;對(duì)照組給予傳統(tǒng)的康復(fù)訓(xùn)練和康復(fù)指導(dǎo),實(shí)驗(yàn)組除常規(guī)傳統(tǒng)的康復(fù)訓(xùn)練和康復(fù)指導(dǎo)外由護(hù)士給予穴位按摩,并分別在治療前及康復(fù)8周后對(duì)患者進(jìn)行USN評(píng)定及給予Bathel指數(shù)評(píng)分(BI)、Fugl-Meyer運(yùn)動(dòng)功能評(píng)定(FMA)和簡(jiǎn)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(jìn)行統(tǒng)計(jì)學(xué)分析,計(jì)量資料用均數(shù)標(biāo)準(zhǔn)差((X|-)±S)來(lái)表示,采用t檢驗(yàn)來(lái)進(jìn)行比較,計(jì)數(shù)資料比較采用X2檢驗(yàn),P㩳0.05為差異有統(tǒng)計(jì)學(xué)意義。結(jié)果1、8周康復(fù)治療后,給予對(duì)照組患者USN評(píng)定,USN評(píng)定結(jié)果,二等分線段和臨摹實(shí)驗(yàn)評(píng)定有統(tǒng)計(jì)學(xué)意義(P0.05);給予Bathel指數(shù)評(píng)分(BI)、Fugl-Meyer運(yùn)動(dòng)功能評(píng)定(FMA)和簡(jiǎn)易精神狀態(tài)檢查(MMSE),各項(xiàng)評(píng)分較治療前均有統(tǒng)計(jì)學(xué)意義(P0.05)。2、8周康復(fù)治療后,給予實(shí)驗(yàn)組患者USN評(píng)定,USN評(píng)定結(jié)果,二等分線段,劃削實(shí)驗(yàn),畫(huà)鐘實(shí)驗(yàn)和臨摹實(shí)驗(yàn)評(píng)定均有統(tǒng)計(jì)學(xué)意義(P0.05);給予Bathel指數(shù)評(píng)分(BI)、Fugl-Meyer運(yùn)動(dòng)功能評(píng)定(FMA)和簡(jiǎn)易精神狀態(tài)檢查(MMSE),各項(xiàng)評(píng)分較治療前均有統(tǒng)計(jì)學(xué)意義(P0.05)。3、8周康復(fù)治療后,兩組間比較,實(shí)驗(yàn)組USN評(píng)定恢復(fù)程度優(yōu)于對(duì)照組,有統(tǒng)計(jì)學(xué)意義(P0.05);實(shí)驗(yàn)組Bathel指數(shù)評(píng)定(BI)、Fugl-Meyer運(yùn)動(dòng)功能評(píng)定(FMA)和簡(jiǎn)易精神狀態(tài)檢查(MMSE)評(píng)定恢復(fù)程度優(yōu)于對(duì)照組,有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論1、穴位按摩法配合康復(fù)訓(xùn)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(qiáng)于傳統(tǒng)康復(fù)治療;2、穴位按摩法配合康復(fù)訓(xùn)練8周后能顯著改善患者運(yùn)動(dòng)功能、日常生活活動(dòng)能力和認(rèn)知水平,改善程度明顯強(qiáng)于傳統(tǒng)康復(fù)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(xué)位授予單位】：錦州醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R743.3
本文編號(hào)：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(xué)位授予單位】：錦州醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類(lèi)號(hào)】：R743.3
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