综合性康复治疗对神经内科偏瘫患者的效果观察

赵英兵++徐甜颖　张岩　刘颖　肖韩艳

[摘要] 目的 探讨神经内科偏瘫患者综合性康复治疗效果。 方法 选择2016年1～6月间在我院神经内科住院的100例偏瘫患者作为研究对象，根据患者治疗方法将患者分为常规组（n=50）和康复组（n=50），常规组患者给予常规药物治疗，康复组在药物治疗基础上给予患者综合性康复治疗，对比两组患者的治疗效果。 结果 康复组患者治疗6个月后NIHSS评分低于常规组（P<0.05）。康复组患者治疗6个月后Fugl-Meyer、Barthel指数明显高于常规组。康复组患者治疗总有效率高于常規组（P<0.05）。康复组患者治疗前HAMD评分与常规组对比无差异（P>0.05）。康复组患者治疗6个月后HAMD评分低于常规组（P<0.05）。 结论 对于脑血管疾病引起的偏瘫患者给予综合性康复治疗能有效促进患者神经功能恢复，提高患者生活质量，且能改善患者抑郁状况，效果显著，可推广运用。

[关键词] 偏瘫；综合性康复治疗；抑郁

[中图分类号] R743.3 [文献标识码] B [文章编号] 1673-9701（2017）04-0085-03

Effect of comprehensive rehabilitation on hemiplegia patients in department of neurology

ZHAO Yingbing XU Tianying ZHANG Yan LIU Ying XIAO Hanyan

Department of Neurology， Second Hospital Affiliated to Mudanjiang Medical College， Mudanjiang 157000， China

[Abstract] Objective To investigate the effect of comprehensive rehabilitation therapy on neuropsychiatric hemiplegia patients. Methods From January to June 2016， 100 patients with hemiplegia in our hospital were divided into two groups： Conventional group（n=50） and rehabilitation group（n=50） according to the different methods. The patients in the conventional group were treated with conventional drugs， and the patients in the rehabilitation group were given comprehensive rehabilitation therapy on the basis of drug therapy. The therapeutic effect of the two groups was compared. Results The NIHSS score of the rehabilitation group was lower than that of the conventional group at 6 months after treatment（P<0.05）. The Fugl-Meyer and Barthel index in the rehabilitation group were significantly higher than those in the conventional group after 6 months of treatment. The total effective rate in the rehabilitation group was higher than that in the conventional group（P<0.05）. There was no significant difference in the HAMD score between the rehabilitation group and the conventional group（P>0.05）. The HAMD score of the rehabilitation group was lower than that of the conventional group at 6 months after treatment（P<0.05）. Conclusion The comprehensive rehabilitation treatment of neuropsychiatric hemiplegia patients can effectively promote the recovery of neurological function， motor function and improve the life ability of patients， and can improve the patients' depression， the effect is obvious， can be popularized.

[Key words] Hemiplegia； Comprehensive rehabilitation therapy； Depression

随着当今社会人口老龄化现象加重，神经内科脑血管疾病的发病率也在不断升高，脑血管病的特点是高发病率、高致残率、高死亡率[1]，是危害人类健康的杀手之一，是全世界医务工作者关注的热点。其中偏瘫是急性脑血管病常见后遗症[2]，严重影响者患者的日常生活，降低患者的生存质量，且患者常伴有不同程度的抑郁症状，给患者、家庭及社会都带来了沉重的负担[3]。因此，采取各种方法促进神经功能恢复、改善神经功能缺失症状是目前医学研究的重点。本研究采用综合性康复治疗，观察偏瘫患者的治疗效果，以期为临床治疗偏瘫提供参考。

1 资料与方法

1.1 一般资料

选择2016年1～6月在我院神经内科住院的100例偏瘫患者，诊断标准参照卫生部疾病控制司的《中国脑血管病防治指南》；经影像学检查确诊为急性缺血性脑卒中患者，并且意识清楚可配合相关评价量表测评。……