目標(biāo)性功能訓(xùn)練對(duì)腦出血術(shù)后患者神經(jīng)功能、認(rèn)知功能、肢體運(yùn)動(dòng)功能和生活質(zhì)量的影響

徐萍

[摘要] 目的 探討目標(biāo)性功能訓(xùn)練對(duì)腦出血術(shù)后患者神經(jīng)功能、認(rèn)知功能、肢體運(yùn)動(dòng)功能和生活質(zhì)量的影響。方法 選取浙江省永康市第一人民醫(yī)院2016年1月～2018年1月收治的腦出血患者120例，根據(jù)隨機(jī)紙片法進(jìn)行分組，對(duì)照組（60例）患者采用常規(guī)性康復(fù)訓(xùn)練，觀察組（60例）患者采用目標(biāo)性功能訓(xùn)練。實(shí)施訓(xùn)練干預(yù)前后，兩組患者進(jìn)行美國(guó)國(guó)立衛(wèi)生研究卒中量表（NIHSS）評(píng)分、認(rèn)知功能評(píng)分、Barthel指數(shù)、Fugl-Meyer評(píng)分、生活質(zhì)量、日?；顒?dòng)能力（ADL）評(píng)分和療效評(píng)價(jià)。 結(jié)果 干預(yù)前，兩組NIHSS評(píng)分、認(rèn)知功能評(píng)分、Barthel指數(shù)、Fugl-Meyer評(píng)分、生活質(zhì)量和ADL評(píng)分比較，差異無統(tǒng)計(jì)學(xué)意義（P > 0.05）;干預(yù)后，兩組NIHSS評(píng)分均低于干預(yù)前，認(rèn)知功能評(píng)分、Barthel指數(shù)、Fugl-Meyer評(píng)分、生活質(zhì)量和ADL評(píng)分均高于干預(yù)前，且觀察組NIHSS評(píng)分低于對(duì)照組，認(rèn)知功能評(píng)分、Barthel指數(shù)、Fugl-Meyer評(píng)分、生活質(zhì)量和ADL評(píng)分高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P < 0.05）。觀察組臨床治療總有效率高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P < 0.05）。 結(jié)論 目標(biāo)性功能訓(xùn)練在腦出血患者中實(shí)施，神經(jīng)功能、認(rèn)知功能、肢體運(yùn)動(dòng)功能和生活質(zhì)量均可獲得改善，從而提高預(yù)后水平，值得臨床推廣應(yīng)用。

[關(guān)鍵詞] 目標(biāo)性功能訓(xùn)練;腦出血;神經(jīng)功能;認(rèn)知功能;肢體運(yùn)動(dòng)功能;生活質(zhì)量

[中圖分類號(hào)] R743.34 ? ? ? ? ?[文獻(xiàn)標(biāo)識(shí)碼] A ? ? ? ? ?[文章編號(hào)] 1673-7210（2019）06（c）-0177-04

Influence of targeted functional training on the neural function， cognitive function， body movement function and life quality of hematencephalon patients after operation

XU Ping

Medical Examination Center， the First People′s Hospital in Yongkang City， Zhejiang Province， Yongkang ? 321300， China

[Abstract] Objective To approach the influence of targeted functional training on the neural function， cognitive function， body movement function and life quality of hematencephalon patients after operation. Methods A total of 120 patients with hematencephalon in the First People′s Hospital in Yongkang City of Zhejiang Province from January 2016 to January 2018 was selected， and they were grouped by random paper method， patients in control group （60 cases） were given regular rehabilitation training， and patients in observation group （60 cases） were given targeted functional training. The NIHSS score， cognitive function score， Barthel index， Fugl-Meyer score， life quality， ADL score and therapeutic effect of two groups before and after training intervention were evaluated. Results Before intervention， there was no statistically significant difference in the NIHSS score， cognitive function score， Barthel index， Fugl-Meyer score， life quality and ADL score between the two groups （P > 0.05）. After intervention， the NIHSS scores of the two groups were lower than before intervention， the cognitive function score， Barthel index， Fugl-Meyer score， life quality and ADL score were higher than before intervention， and the NIHSS score of observation group was lower than that of control group， the cognitive function score， Barthel index， Fugl-Meyer score， life quality and ADL score of observation group were higher than those of control group， the differences were statistically significant （P < 0.05）. The total clinical efficiency of observation group was higher than that of control group， the difference was statistically significant （P < 0.05）. Conclusion The implementation of targeted functional training in hematencephalon patients， could improve the neural function， cognitive function， body movement function and life quality， increase prognostic level， it is worthy of clinical application.