摘要
目的探索个体化运动干预联合电针刺激对老年脑卒中患者日常生活能力的影响。方法选取2018年3月—2022年5月武汉市第三医院治疗的老年脑卒中患者124例,采用随机数字表法分为观察组和对照组,每组62例。对照组接受常规治疗和康复训练,观察组在对照组相同治疗的基础加用个体化运动训练干预和电针刺激。采用日常生活能力(activities of daily living,ADL)量表、功能性步行量表(functional ambulation category,FAC)量表、Berg平衡量表(Berg balance scale,BBS)、美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)、焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)对2组患者进行相关指标评估和比较。结果干预26个月,观察组ADL评分高于对照组(P<0.05);干预46个月,观察组BBS评分高于对照组(P<0.05);干预36个月,观察组FAC评分高于对照组(P<0.05);干预6个月,观察组NIHSS评分、SAS评分和SDS评分均低于对照组(P<0.05)。结论个体化运动联合电针刺激可改善患者日常生活能力和平衡功能,减轻患者的焦虑和抑郁程度,但可能需要长时间才能获得显著疗效。
Objective To explore the effects of individualized exercise intervention combined with electroacupuncture stimulation on the daily living ability of elderly stroke patients.Methods A total of 124 elderly stroke patients treated in Third Hospital of Wuhan City from March 2018 to May 2022 were selected and divided into observation group and control group by random number table method,with 62 cases in each group.The control group received routine treatment and rehabilitation training,and the observation group received individualized exercise training intervention and electroacupuncture stimulation on the basis of the same treatment in the control group.Activities of Daily Living(ADL)scale,Functional Ambulation Category(FAC)scale,Berg Balance Scale(BBS),National Institute of Health Stroke Scale(NIHSS),Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to evaluate the patients,and the evaluation results were compared between the two groups.Results After 2 to 6 months of intervention,ADL score of the observation group was higher than that of the control group(P<0.05).After 4 to 6 months of intervention,BBS score of the observation group was higher than that of the control group(P<0.05).After 3 to 6 months of intervention,FAC score of the observation group was higher than that of the control group(P<0.05);After 6 months of intervention,NIHSS scores,SAS scores and SDS scores of the observation group were lower than those of the control group(P<0.05).Conclusion Individualized exercise combined with electroacupuncture stimulation can improve patients daily living ability and balance function,reduce their anxiety and depression levels,but it may take a long time to achieve significant therapeutic effects.
作者
江龙丽
阳国英
吴滨荣
张晓艳
Jiang Longli;Yang Guoying;Wu Binrong;Zhang Xiaoyan(Department of Traditional Chinese Medicine,Third Hospital of Wuhan City,Wuhan,Hubei,430060,P.R.China)
出处
《老年医学与保健》
CAS
2023年第3期543-546,551,共5页
Geriatrics & Health Care
关键词
老年
脑卒中
运动
电针
日常生活能力
elderly
stroke
exercise
electroacupuncture
daily living ability
