摘要
目的研究改良五禽戏治疗老年脑卒中患者步态及平衡功能障碍的疗效及基于功能磁共振的脑机制。方法选择2021年9月至2022年9月在遵义医科大学附属医院接受治疗的60例脑卒中患者为本次的研究对象,随机分组,分为28例对照组和32例观察组。对照组采用常规康复治疗,观察组在对照组基础上通过视频练习改良五禽戏。采用fMRI扫描两组脑部激活区域,对两组脑血流动力学指标、免疫功能指标、步态参数进行评估;Berg量表评定(berg balance scale,BBS)对患者的平衡功能进行评定。结果治疗后,与对照组相比,观察组脑动脉血流平均流速(Vm)、平均血流量(Qm)、免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)水平均提高,血管阻力指数(RI)水平下降,差异有统计学意义(P<0.05);观察组BBS评分提高,差异有统计学意义(P<0.05);观察组步频、步幅、步速均提高,步态周期下降,差异有统计学意义(P<0.05);观察组脑部激活区域的范围及脑功能大于对照组。结论改良五禽戏对老年脑卒中患者进行治疗,可以提高患者的免疫能力,改善患者的平衡能力,改善患者的步态。
Objective To study the efficacy of modified Wuqinxi on gait and balance dysfunction in elder⁃ly stroke patients and the brain mechanism based on fMRI.Methods The 60 stroke patients treated in our hospi⁃tal from September 2021 to January 2023 were selected as the study subjects,and were randomly divided into 28 control groups and 32 experimental groups.The control group used conventional rehabilitation treatment,and the experimental group improved Wuqinxi by video practice based on the control group.The fMRI scan of two brain acti⁃vation area was used to evaluate the cerebral hemodynamic index,immune function index and gait parameters,and the Berg Scale Assessment(berg balance scale,BBS).Results After treatment,the average cerebral artery blood flow rate(Vm),the average blood flow rate(Qm),immunoglobulin G(lmmunoglobin G,IgG),and Immu⁃noglobulin A(lmmunoglobin)in the experimental group compared with the control group.A,IgA),immunoglobu⁃lin M(lmmunoglobin M,IgM)levels increase,vascular resistance index(RI)level decline,statistical difference(P<0.05),the BBS score increase,statistical difference(P<0.05),the step frequency,stride speed increase,gait cycle decline,statistical difference(P<0.05);the stride frequency,stride amplitude and stride speed of the experimental group decreased,with the statistical difference(P<0.05);the range of brain activation areas and brain function in the experimental group were greater than those in the control group.Conclusion The modified Wuqinxi treatment of elderly stroke patients can improve their immune ability,balance ability and gait.
作者
张凤林
舒红燕
任蕾蕾
严川
刘军委
缪光现
成先柄
ZHANG Fenglin;SHU Hongyan;REN Leilei;YAN Chuan;LIU Junwei;MIU Guangxian;CHEN Xianbing(The Affiliated Hospital of Zunyi Medical Uinversity,Zunyi 563000,China)
出处
《实用医学杂志》
CAS
北大核心
2023年第9期1174-1178,共5页
The Journal of Practical Medicine
基金
贵州省卫生健康委科学技术基金项目(编号:gz⁃wkj2021⁃084)。
关键词
改良五禽戏
脑卒中
步态
平衡功能
功能磁共振
improved Wuqinxi
stroke
gait
balance function
functional magnetic resonance
