肩胛骨运动控制训练结合注射脑蛋白水解物粉针剂治疗对脑梗塞偏瘫患者上肢运动和执行功能损害的影响

doi:10.3969/j.issn.1006-6233.2018.07.013

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摘要 目的: 研究肩胛骨运动控制训练结合脑蛋白水解物粉针剂治疗对脑梗塞偏瘫患者上肢运动和执行功能损害的影响。 方法: 收集2015年3月至2016年3月我院的90例脑梗塞偏瘫患者,按抽签法分为治疗组(n=45)和对照组(n=45)。两组患者均采用常规治疗,包括吸氧、脱水降颅压、维持酸碱及水电解质平衡,防治感染等。对照组的在此基础上采用脑蛋白水解物粉针剂治疗。治疗组在对照组的基础上,采用肩胛骨运动控制训练。对比两组治疗疗效情况,肌力、Fugl-Meyer(FMA)评分,执行功能损害改善情况,神经功能缺损评分(NIHSS)、日常生活活动能力(ADL)评分。 结果: 治疗组总有效率显著高于对照组[91.11%(41/45)vs71.11%(32/45)](P<0.05);上肢肌力、FMA评分均显著高于对照组[(4.69±0.95)分vs(3.78±0.62)分,(60.37±6.08)分vs(72.90±4.73)分](P<0.05);执行功能评分改善程度大于对照组(P<0.05);NIHSS评分显著低于对照组[(7.36±2.30)分vs(11.50±3.10)分](P<0.05),ADL评分显著高于对照组[(87.09±15.23)分vs(70.46±12.41)分](P<0.05)。 结论: 肩胛骨运动控制训练结合脑蛋白水解物粉针剂在治疗脑梗塞偏瘫患者上肢运动具有显著的疗效,可有效改善患者的上肢运动功能和执行功能,恢复神经功能,提高患者的生活质量。

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	李晶
	秦达
	闫红
	王小珊

关键词 ：肩胛骨运动, 脑蛋白水解物, 脑梗塞偏瘫, 上肢运动, 执行功能

Abstract：Objective: To study the effect of scapular motion control training combined with brain protein hydrolysate on motor and executive function impairment in patients with cerebral infarction. Methods: 90 patients of hemiplegia of cerebral infarction who received therapy from March 2015 to March 2016 in our hospital were selected as research objects. According to drawing methodthose were divided into the treatment group (n=45) and the control group (n=45). The two groups of patients were treated with routine treatment, including oxygen inhalation, dehydration, reducing craniofacial pressure, maintaining acid-base and water electrolyte balance, preventing infection and so on. The control group was treated with brain protein hydrolysate powder. While the treatment group on the basis of the control group, treated with exercise control of scapula. Then treatment efficacy, muscle strength, Fugl-Meyer (FMA) score, improvement of executive function impairment, neurological deficit score (NIHSS) and activity of daily living (ADL) of two groups were compared. Results: The total effective rate of the treatment group was significantly higher than that of the control group [91.11%(41/45)vs71.11%(32/45)](P<0.05); The score of muscle strength and FMA was significantly higher than that of the control group [(4.69±0.95)score vs (3.78±0.62)score, (60.37±6.08)score vs(72.90±4.73)score](P<0.05); The improvement of executive function score was greater than that of the control group(P<0.05); The NIHSS score was significantly lower than that of the control group[(7.36±2.30)score vs(11.50±3.10)score](P<0.05). The ADL score was significantly higher than that of the control group [(87.09±15.23)score vs(70.46±12.41)score](P<0.05). Conclusion: Omoplate motion control training combined with brain protein hydrolysate has the remarkable curative effect in the treatment of hemiplegia due to cerebral infarction, which can effectively improve the patient's motor function and executive function, restore nerve function, improve the quality of life of patients.

Key words： Scapular movement Cerebrolysin Hemiplegia of cerebral infarction Motor function Performing function

基金资助:贵州省中医药管理局资助项目,(编号:QZYY2010-25)

引用本文:

李晶, 秦达, 闫红, 王小珊. 肩胛骨运动控制训练结合注射脑蛋白水解物粉针剂治疗对脑梗塞偏瘫患者上肢运动和执行功能损害的影响[J]. 河北医学, 2018, 24(7): 1108-1112.
LI Jing, QIN Da, YAN Hong, et al. Effect of Scapular Motion control Training combined with Cerebroprotein Hydrolysate for Injection Powder Injection on upper Limb Movement and Executive Function Impairment in Hemiplegic Patients with Cerebral Infarction. HeBei Med, 2018, 24(7): 1108-1112.

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http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.07.013 或 http://www.hbyxzzs.cn/CN/Y2018/V24/I7/1108

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