CAJ | 학술논문

目的：分析院内综合康复治疗联合家庭康复训练对脑梗死患者运动功能的治疗效果。方法以我院2013年1月～2015年8月收治的40例脑梗死患者为研究对象，按随机数字表法分为对照组（20例）与观察组（20例）。对照组患者给予综合康复治疗；观察组同时给予家庭康复训练干预。治疗周期30 d，治疗前后进行功能评估，评估项目包括运动功能评测（PDMS-2粗大运动量表分测验包括反射、姿势、移动及实物操作四项）及肢体活动时肌电电位变化平均肌电值（AEMG）。结果30 d后，观察组PDMS-2分测验百分位及AEMG值[（8.80±4.70）%、（11.50±4.90）%、（11.80±3.52）%、（12.10±4.68）%及（11.46±2.50）]均优于对照组[（7.60±4.95）%、（10.35±5.43）%、（11.05±3.91）%、（11.15±5.20）%及（9.45±2.11）]，组间差异有统计学意义（P＜0.05）。结论院内综合康复治疗联合家庭康复训练干预对改善脑梗死患者粗大运动功能具有积极影响，能有效减轻患者神经功能缺损程度，提高日常生活能力。
목적：분석원내종합강복치료연합가정강복훈련대뇌경사환자운동공능적치료효과。방법이아원2013년1월～2015년8월수치적40례뇌경사환자위연구대상，안수궤수자표법분위대조조（20례）여관찰조（20례）。대조조환자급여종합강복치료；관찰조동시급여가정강복훈련간예。치료주기30 d，치료전후진행공능평고，평고항목포괄운동공능평측（PDMS-2조대운동량표분측험포괄반사、자세、이동급실물조작사항）급지체활동시기전전위변화평균기전치（AEMG）。결과30 d후，관찰조PDMS-2분측험백분위급AEMG치[（8.80±4.70）%、（11.50±4.90）%、（11.80±3.52）%、（12.10±4.68）%급（11.46±2.50）]균우우대조조[（7.60±4.95）%、（10.35±5.43）%、（11.05±3.91）%、（11.15±5.20）%급（9.45±2.11）]，조간차이유통계학의의（P＜0.05）。결론원내종합강복치료연합가정강복훈련간예대개선뇌경사환자조대운동공능구유적겁영향，능유효감경환자신경공능결손정도，제고일상생활능력。
Objective To analyze nosocomial joint family rehabilitation training comprehensive rehabilitation therapy on the therapeutic effect of movement function in patients with cerebral infarction.Methods 40 cases of cerebral infarction patients as the research object in our hospital from January 2013 to August 2015, according to random number table method is divided into control group (20 cases) and observation group (20 cases). Control group patients give comprehensive rehabilitation treatment. Observation group at the same time give family rehabilitation training. Period of 30 days before and after the treatment function assessment, evaluation of the project including motor function evaluation (PDMS-2 gross motor scale test including relfection, posture, movement and physical operation four) and physical activities when electrical potential changes in the average electrical values (AEMG).Results After 30 days, PDMS observing group - 2 percentile points test and AEMG value [(8.80±4.70)%, (11.50±4.90)%, (11.80±3.52)%, (12.10±4.68)% and (11.46±2.50)] were superior to control group [(7.60±4.95) %, (10.35±5.43) %, (11.05±3.91) %, (11.15±5.20) % and (9.45±2.11)], differences between groups was statistically significant (P<0.05).Conclusion Joint family rehabilitation training in the comprehensive rehabilitation therapy intervention to improve gross motor function in patients with cerebral infarction has a positive effect, can effectively relieve patients with nerve function defect degree, improve the ability of daily life, suitable for clinical promotion.