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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 |
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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.
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[1] 徐亚红,魏小利,张星楠,等.不同时间介入康复训练对脑出血患者运动功能恢复的影响[J].医学综述,2016,22(23):4762-4764.
[2] Hu RF,Jiang XY,Hegadoren KM,et al. Effects of earplugs and eye masks combined with relaxing music on sleep,melatonin and cortisol levels in ICU patients:a randomized controlled trial [J]. Crit Care,2015,19(1):1-9.
[3] 时晓玲.早期康复训练配合心理干预对高血压脑出血患者生活质量的影响[J].中国实用神经疾病杂志,2016,19(18):138-139.
[4] 王倩,董立焕,成杰,等.基于正念的音乐训练对脑出血睡眠障碍患者睡眠-醒觉行为的影响[J].护理学报,2018, 25(16):5-8.
[5] 许金仙,廖佳奇.高压氧联合三级康复训练对老年高血压基底节区脑出血预后、生存质量及心理的影响[J].中国老年学杂志,2016,36(12):2919-2921.
[6] Kanda T,Tsujino N,Kuramoto E,et al. Sleep as a biological problem:an overview of frontiers in sleep research [J]. J Physiol Sci,2016,66(1):1-13.
[7] 王天舒,谢玉环,相艳艳,等.高血压脑出血术后早期康复训练介入的疗效观察[J].安徽医药,2016,20(9):1797-1800.
[8] 周小莉.头针干预联合康复训练对脑出血恢复期患者神经营养状态及神经损伤程度的影响[J].海南医学院学报,2017,23(22):3062-3065.
[9] 全国第四届脑血管病学术会议.脑卒中患者临床神经功能缺损评分标准[J].中华神经科杂志,1996,29(6):381-384.
[10] 陈清棠.脑卒中患者临床神经功能缺损程度评分标准(1995)[J].中华神经科杂志,1996,29(6):381-383.
[11] 王新德.实用临床神经病学[M].北京:科学技术文献出版社,2007:619-620,630.
[12] Page SJ,Levine P,Hade E. Psychometric properties and administration of the wrist/hand subscales of the Fugl-Meyer assessment in minimally impaired upper extremity hemiparesis in stroke [J]. Arch Phys Med Rehabil,2012, 93(12):2373-2376.
[13] 中华神经学会,中华神经外科学会.各类脑血管疾病诊断要点[J].中华神经外科杂志,1997,13(1):3-5.
[14] 中国脑血管病防治指南编写委员会.中国脑血管病防治指南[M].北京:人民卫生出版社,2007:25.
[15] 夏灵芳,华秀琴.目标导向式重复性功能训练对脑出血患者神经功能及运动功能康复的影响[J].临床护理杂志,2018,17(3):50-53.
[16] 王宏双,孟德勇.头针联合任务导向性训练治疗脑出血平衡障碍的临床研究[J].现代中西医结合杂志,2017, 26(28):3114-3117.
[17] 陈向荣,杜菊梅,徐东泽,等.神经内镜下脑出血清除术模型的建立及手术训练[J].中国微侵袭神经外科杂志,2017,22(11):527-528.
[18] 黄建斌.规范化康复训练对急性脑出血后遗症患者肢体运动功能和生活质量的影响[J].福建医药杂志,2017, 39(3):62-64.
[19] 李海萍,杨翊.三级康复训练对脑出血后上肢运动功能改善的效果[J].心血管康复医学杂志,2017,26(2):146-149.
[20] 甄文剑,刘莹,李娜,等.针刺同步吞咽康复训练治疗脑出血后吞咽障碍的疗效观察[J].中国中医急症,2017, 26(10):1859-1861.
[21] Jaimovich SG,Bailez M,Asprea M,et al. Neuro surgical training with simulators:a novel neuroendoscopy model [J]. Childs Nerv Syst,2016,32(2):345-349.
[22] 侯晓辉,陈改娟,潘建涛.针刺联合康复训练治疗脑出血后偏瘫临床观察[J].光明中医,2018,33(6):842-844.
[23] 魏向阳.高压氧联合三级康复训练对老年高血压基底节区脑出血的疗效[J].中国实用神经疾病杂志,2017, 20(17):34-36.
[24] 覃壮玲,刘宏艳,张莉红,等.运动想象疗法在高血压脑出血术后运动性失语患者康复训练中的应用[J].右江医学,2017,45(6):683-685.
[25] 张琳君,周青山.中医针灸联合减重步行训练对高血压性脑出血后下肢功能恢复的影响研究[J].现代中西医结合杂志,2017,26(7):711-713,769. |
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