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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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

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	LI Jing
	QIN Da
	YAN Hong
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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[J]. HeBei Med, 2018, 24(7): 1108-1112.

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

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