摘要
目的探讨镜像神经元康复训练结合矫形按摩对脑卒中患者上肢功能的影响。方法选取2018年1月至2019年12月本院收治的150例脑卒中患者,随机分为A组、B组、C组,各50例。A组行常规康复训练+MNST+OM治疗,B组行常规康复训练+MNST,C组行常规康复训练+OM,三组均持续治疗8周。比较三组患者上肢康复情况、体感诱发电位N20变化情况以及满意度。结果三组患者治疗后FMA-UE评分、WMFT评分、MBI评分均明显高于治疗前,差异均有统计学意义(均P<0.05);治疗前,三组患者FMA-UE评分、WMFT评分、MBI评分比较,差异均无统计学意义(均P>0.05);治疗后,A组FMA-UE评分、WMFT评分、MBI评分分别为(45.67±6.84)分、(49.67±72.26)分、(80.62±8.37)分,均明显高于B组(38.13±3.52)分、(43.67±6.83)分、(72.59±7.26)分,C组(38.45±3.85)分、(45.10±6.95)分、(73.46±7.65)分,差异均有统计学意义(均P<0.05);三组患者N20潜伏期、波幅在不同时点上比较,差异均有统计学意义(均P<0.05);治疗前,三组患者N20潜伏期、波幅比较,差异均无统计学意义(均P>0.05);治疗中期、治疗后,A组患者N20潜伏期明显短于B组与C组,波幅明显高于B组与C组,差异均有统计学意义(均P<0.05);A组生活质量总满意率为96.00%,明显高于B组、C组82.00%、80.00%,差异有统计学意义(P<0.05)。结论MNST+OM可有效改善脑卒中患者的上肢与手功能状况,从而提高患者的日常生活能力,更加符合患者的满意度,具有临床应用价值。
Objective To investigate the effect of mirror neuron rehabilitation training and orthopedic massage on upper limb function in patients with stroke.Methods 150 stroke patients admitted to our hospital from January,2018 to December,2019 were randomly divided into group A,group B,and group C,with 50 cases in each group.Group A took routine rehabilitation training,mirror neuron rehabilitation training,and orthopedic massage;group B routine rehabilitation training and mirror neuron rehabilitation training;and group C routine rehabilitation training and orthopedic massage;for 8 weeks.The recovery of upper extremities,the changes of somatosensory evoked potential N20,and satisfactions were compared between the three groups.Results The scores of FMA-UE,WMFT,and MBI were higher after than before the treatments in all the 3 groups(all P<0.05).There were no statistical differences in the scores of FMA-UE,WMFT,and MBI between the 3 groups(all P>0.05).After the treatments,the scores of FMA-UE,WMFT,and MBI were higher group A than those in group B and group C(all P<0.05).There were statistical differences in N20 latency and amplitude between before,during,and after the treatments in the 3 groups(all P<0.05).Before the treatments,there were no statistical differences in N20 latency and amplitude between the 3 groups(all P>0.05).During and after the treatments,the N20 latency was shorter and the amplitude was higher in group A than in group B and group C(all P<0.05).The satisfaction was 96.00%in group A,which was higher than those in group B(82.00%)and group C(80.00%)(both P<0.05).Conclusion Mirror neuron rehabilitation training and orthopedic massage for stroke patients can effectively improve their upper limb and hand function,daily life ability,and satisfaction,so it is of clinical application value.
作者
王庆超
Wang Qingchao(Department of Rehabilitation Medicine,Shanxian Central Hospital,Heze 274300,China)
出处
《国际医药卫生导报》
2020年第20期3070-3074,共5页
International Medicine and Health Guidance News
关键词
脑卒中
镜像神经元康复训练
矫形按摩
上肢功能
临床疗效
Stroke
Mirror neuron rehabilitation training
Orthopedic massage
Upper limb function
Clinical efficacy
