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虚拟视频刺激下同步辅助运动对脑血管病患者生活质量的影响

Effect of synchronized auxiliary exercise under virtual video stimulation on the quality of life of patients with cerebrovascular disease

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【作者】 王学仕陈姝凤董艺璇王洪超郑文华于奇孔德强户文娟

【Author】 WANG Xueshi;CHEN Shufeng;DONG Yixuan;WANG Hongchao;ZHENG Wenhua;YU Qi;KONG Deqiang;HU Wenjuan;Department of Neurology,Langfang People’s Hospital of Hebei Province;Department of General Surgery,Anci District Hospital of Langfang in Hebei Province;Emergency Department,Langfang People’s Hospital of Hebei Province;

【机构】 河北省廊坊市人民医院神经内科河北省廊坊市安次区医院普外科河北省廊坊市人民医院急诊科

【摘要】 目的探讨虚拟视频刺激下同步辅助运动对脑血管病患者生活质量的影响。方法回顾性分析60例脑血管病患者的临床资料,根据治疗方式不同分为常规组和观察组。常规组30例患者采用同步辅助运动,包括促通技术、推拿及针灸,观察组30例患者在常规组的基础上配合虚拟视频进行刺激治疗,均康复治疗3个月。采用Fugl-Meyer运动功能积分法评价2组患者肢体运动功能,Holden步行能力评定量表评估步行功能,Barthel指数评定日常生活能力,比较2组不同评分的差异。结果治疗前,2组Fugl-Meyer评分、Holden步行能力评分、Barthel指数评分差异无统计学意义(P>0.05);治疗后,2组Fugl-Meyer评分、Holden步行能力评分、Barthel指数评分均升高,且观察组各评分均高于常规组,差异有统计学意义(P<0.05)。结论虚拟视频下恐惧刺激结合同步辅助运动存在一定的可行性,能够改善脑血管病患者肢体功能障碍,提高步行功能,提升日常生活能力。

【Abstract】 Objective To explore the effect of synchronized auxiliary exercises under virtual video stimulation on the quality of life of patients with cerebrovascular disease. Methods Clinical data of 80 patients with cerebrovasculardisease admitted was retrospectively analyzed. According to their treatment methods, they were divided into routine group and observation group. A total of 30 patients in the routine group used synchronous auxiliary exercises, including facilitation techniques, massage and acupuncture, another 30 cases in the control group were treated with virtual video stimulation on the basis of the conventional group, and all patients received rehabilitation treatment for 3 months. The limb motor function of the two groups was evaluated by Fugl-Meyer motor function integral method, and the walking function was evaluated by the Holden Walking Ability Scale.The Barthel index was used to assess the ability of daily living, and the differences in Fugl-Meyer motor function integral, Holden Walking Ability Scale and Barthel index between the two groups were compared. Results Before treatment, there were no significant differences in Fugl-Meyer score, Holden Walking Ability score, and Barthel index between the two groups(P>0.05). After treatment, the abovescores of two groups increased,and were higher in the observation group than those of the routine group( P < 0. 05). Conclusion It is feasible to combine synchronized auxiliary exercises and fear stimulation under virtual video,and they can improve limb dysfunction in patients with cerebrovascular disease,improve walking function and enhance daily living ability.

【基金】 2019年度河北省医学科学研究课题(20191352)
  • 【文献出处】 实用临床医药杂志 ,Journal of Clinical Medicine in Practice , 编辑部邮箱 ,2021年19期
  • 【分类号】R743
  • 【下载频次】26
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