下肢康复机器人在脑卒中伴重度偏瘫患者康复中的价值及其对不良心理的影响

doi:10.20047/j.issn1673-7210.2023.29.17

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Abstract Objective To investigate the rehabilitation value of lower extremity rehabilitation robot for stroke patients with severe hemiplegia. Methods A total of 130 stroke patients with severe hemiplegia admitted to Department of Rehabilitation Medicine, the First Affiliated Hospital of Guangxi University of Science and Technology from January 2019 and December 2020 were selected as study subjects. They were divided into group A (65 cases) and group B (65 cases) by random number table method. group A was treated with folic acid + conventional rehabilitation training, and group B was treated with folic acid + conventional rehabilitation training + lower extremity rehabilitation robot, the course of treatment was six months. The motor function assessment scale (MAS) score, Barthel index, National Institutes of Health stroke scale (NIHSS) score, and anxiety and depression were compared between two groups before intervention, three and six months after intervention; patients in both groups were followed up by telephone for 180 d, and short form 36 (SF-36) scores were compared between two groups. Results Overall analysis showed that MAS score, Barthel index, NIHSS score between groups, time, and interaction were statistically significant between the two groups (P＜0.05). Intra-group comparison: MAS score, Barhtel index, and NIHSS score were pairwise compared at different time points in two groups, and the differences were statistically significant (P＜0.05). Inter-group comparison: after six months of intervention, MAS score and Barthel index in group B were higher than those in group A, and NIHSS score was lower than those in group A, and the differences were statistically significant (P＜0.05). The overall analysis showed that there were statistically significant differences between groups, time, and interaction of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores (P＜0.05). Intra-group comparison: SAS and SDS scores were pairwise compared at different time points in the two groups, and the differences were statistically significant (P＜0.05). Inter-group comparison: after three and six months of intervention, SAS and SDS scores in group B were lower than those in group A, and the differences were statistically significant (P＜0.05). After intervention, the scores of physiological function, physiological function, physical pain, vitality, social function, emotional function, mental health, and total score of two groups were higher than those before intervention, and group B was higher than group A, and the differences were statistically significant (P＜0.05). Conclusion Lower extremity rehabilitation robot can significantly improve the motor function of the affected limbs, nerve damage, and adverse psychology of stroke patients with severe hemiplegia, and improve the quality of life of patients, which is worth promoting.

Key words： Lower extremity rehabilitation robot Stroke Severe hemiplegia Rehabilitation therapy Adverse psychology

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	MAO Zhenfang JIANG Zhiqiang LONG Jie LI Xuemei JIANG Qiying ZHANG Liangyong HUANG Liuyuan WEI Qiuyi

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MAO Zhenfang JIANG Zhiqiang LONG Jie LI Xuemei JIANG Qiying ZHANG Liangyong HUANG Liuyuan WEI Qiuyi. Value of lower extremity rehabilitation robot in the rehabilitation of stroke patients with severe hemiplegia and its effect on adverse psychology[J]. 中国医药导报, 2023, 20(29): 78-82.

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