【摘要】 目的:研究运动疗法在脑梗死患者中后期康复中的应用效果。方法:收集2013年1月~2015年8月绵阳四O四医院收治脑梗死患者中后期80例,随机分为两组,各40例,观察组为有氧训练,对照组为抗阻训练,比较两组患者血压变化、美国国立卫生研究院卒中量表(NIHSS)评分变化、脑血肿消失时间、自主神经功能变化及生存质量。结果:两组患者运动前后收缩压和舒张压均明显下降,且差异具有统计学意义(P<0.05),运动后观察组与对照组相比,收缩压下降幅度差异明显,有统计学意义(P<0.05);运动后观察组NIHSS评分显著低于对照组,脑血肿消失时间短于对照组(P<0.05);运动后观察组RR间期均值、每天RR间期标准差值、每5 min内RR间期平均值的标准差以及每5 min内RR间期标准差的均值均低于对照组,差异具有统计学意义(P<0.05);运动后观察组生存质量各维度评分均显著高于对照组(P<0.05)。结论:有氧运动相对抗阻运动,更能改善老年脑梗死患者中后期自主神经功能及生存质量,可在临床上加以推广应用。更多还原

【Abstract】 Objective To study the therapeutic effect of exercise therapy in patients with cerebral infarction in the middle and later periods. Methods Eighty patients with cerebral infarction in the middle and later periods treated in Mianyang 404 Hospital from January 2013 to August 2015 were selected and randomly divided into two groups, with 40 cases in each group. The patients in observation group received aerobic training, while those in control group were treated with resistance training. The changes of blood pressure, National Institutes of Health Stroke Scale(NIHSS) scores, time for hematoma disappearing, changes of autonomic nerve function and quality of life were compared between the two groups. Results Both systolic blood pressure and diastolic blood pressure of the two groups decreased significantly after exercise(P<0.05),and the decrease of systolic blood pressure was more significant in observation group than in control group(P<0.05). After exercise, NIHSS score was significantly lower and the time for hematoma disappearing was shorter in observation group as compared with control group(P<0.05). After exercise, average value of RR intervals, standard deviation of RR intervals,standard deviation of average RR intervals in every 5 minutes and mean standard deviation of average RR intervals in every 5 minutes in observation group were lower than those in control group(P<0.05). Moreover, the scores of quality of life in observation group were significantly higher than those in the control group(P<0.05). Conclusion Compared with resistance exercise, aerobic exercise can better improve the autonomic nervous function and quality of life of elderly patients with cerebral infarction in the middle and later periods, worthy of application in clinic.更多还原