摘要
目的基于中国版平衡量表开展个体化平衡功能障碍治疗,探讨其对脑卒中后平衡障碍的疗效。方法选取2018年6月至2019年12月入住我院康复科的120例脑卒中后平衡功能障碍患者为研究对象。采用抽签法将患者随机分为对照组和观察组。剔除因提前出院未完成研究的5例,共115例患者纳入统计分析,其中观察组57例,对照组58例。两组患者均接受脑卒中二级预防药物以及综合康复治疗。在此基础上,给予对照组常规康复评估量表测评和康复训练,而观察组根据中国版平衡量表评估结果进行个体化平衡障碍治疗。比较两组患者治疗前及治疗4周后的康复情况。结果治疗前,两组患者的Fugl-Meyer平衡、上肢及下肢、TIS、PASS、BBA、mini-BESTest、RMI评分比较,差异无统计学意义(P>0.05);治疗4周后,两组患者的Fugl-Meyer平衡、上肢及下肢、TIS、PASS、BBA、mini-BESTest、RMI评分均较治疗前显著升高,且观察组高于对照组,差异具有统计学意义(P<0.05)。结论应用中国版平衡量表评价脑卒中后偏瘫肢体平衡功能状况,有助于脑卒中后平衡障碍治疗技术方案的优化,加速患者平衡功能的恢复。
Objective To explore the effect of individualized balance disorder therapy based on Chinese version of balance scale on balance disorder after stroke.Methods A total of 120 patients with balance disorder after stroke admitted in the rehabilitation department of our hospital from June 2018 to December 2019 were selected as the research objects.The patients were randomly divided into control group and observation group by lottery method.Excluding 5 patients who did not complete the study due to early discharge,a total of 115 patients were included in the statistical analysis,including 57 cases in the observation group and 58 cases in the control group.Both groups received secondary stroke prevention drugs and comprehensive rehabilitation treatment.On this basis,the control group was given routine rehabilitation evaluation scale and rehabilitation training,while the observation group was given individualized balance disorder therapy according to the evaluation results of Chinese version of balance scale.The rehabilitation of the two groups before treatment and at 4 weeks after treatment were compared.Results Before treatment,there were no significant differences in the scores of Fugl-Meyer balance,upper and lower limbs,TIS,PASS,BBA,mini-BESTest and RMI between the two groups(P>0.05);after 4 weeks of treatment,the scores of Fugl-Meyer balance,upper and lower limbs,TIS,PASS,BBA,mini-BESTest and RMI of the two groups were significantly higher than those before treatment,those of the observation group were higher than the control group,and the differences were statistically significant(P<0.05).Conclusion The application of Chinese version of balance scale for evaluating the balance function of hemiplegic limbs after stroke is helpful to optimize the treatment scheme of balance disorder after stroke and accelerate the recovery of balance function of patients.
作者
许雷雷
郑锐锋
XU Leilei;ZHENG Ruifeng(Rehabilitation Medicine Department,Luoyang Central Hospital Affiliated to Zhengzhou University,Luoyang 471000,China)
出处
《临床医学研究与实践》
2021年第29期26-29,共4页
Clinical Research and Practice
基金
河南省医学科技攻关计划(联合共建项目)(No.2018020909)。
关键词
中国版平衡量表
个体化治疗
平衡障碍
脑卒中
Chinese version of balance scale
individualized treatment
balance disorder
stroke
