解放军医药杂志2017，Vol.29Issue(11)：18-21,4.DOI:10.3969/j.issn.2095-140X.2017.11.005
神经反射刺激对脑出血急性期患者疗效及CSS和上下肢Fugl-Meyer评分的变化
Changes of Neurologic Reflex Irritation on Effectiveness and Neurologic Functional Impairment and Fugl-Meyer Scores of Upper and Lower Limbs of Patients with Acute Cerebral Hemorrhage
摘要
Abstract
Objective To study the effect of neurologic reflex irritation therapy in treatment of patients with acute cerebral hemorrhage and its effects on neurologic functional impairment score,Fugl-Meyer score of upper and lower limbs.Methods A total of 88 patients with acute cerebral hemorrhage admitted during June 2015 and October 2016were divided into control group (n =44) and observation group (n =44) according to different treatment methods.Control group was treated with conventional intervention,while observation group was treated with neurologic reflex irritation on the basis of treatment for control group.Therapeutic effect,Fugl-Meyer scores,neurologic functional impairment scores,anxiety and depression scores of upper and lower limbs at different time points before and after treatment were compared in two groups.Results The total effective rate in observation group was significantly higher than that in control group in 1 month after treatment (P ＜ 0.05).In observation group Fugl-Meyer scores of upper and lower limbs were significantly higher in 2 weeks after treatment than those before treatment (P ＜ 0.05).In 1 month after treatment,FuglMeyer scores of upper and lower limbs in two groups were significantly higher than those before treatment,and the scores in observation group were significantly higher than those in control group (P ＜ 0.05,P ＜ 0.01).In 1 week,2 weeks and 1 months after treatment,neurologic functional impairment scores in two groups were significantly lower than those before treatment,and the scores in observation group were significantly lower than those in control group (P ＜ 0.05,P ＜0.01).In 1 month after treatment,hamilton rating scale for depression (HAMD) and Hamilton anxiety (HAMA) scores were lower than those before treatment in two groups,and the scores in observation group were significantly lower than those in control group (P ＜ 0.05,P ＜ 0.01).Conclusion Neurologic reflex irritation can improve the therapeutic effect,promote recovery of neurological function and motor ability of limbs and improve the negative emotions of patients with acute cerebral hemorrhage.关键词
脑出血/神经反射刺激/治疗效果/Fugl-Meyer评分Key words
Cerebral hemorrhage/Neurologic reflex irritation/Treatment effectiveness/Fugl-Meyer score分类
医药卫生引用本文复制引用
朱晓龙,陈旭义,李建鑫,苏景良,李建伟,武慧丽..神经反射刺激对脑出血急性期患者疗效及CSS和上下肢Fugl-Meyer评分的变化[J].解放军医药杂志,2017,29(11):18-21,4.基金项目
国家自然科学基金(11672332) （11672332）
