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躯干控制管理对脑卒中患者平衡功能建立的疗效观察
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Abstract:
目的：观察脑卒中后偏瘫患者进行躯干控制管理对其平衡功能建立及日常生活活动能力(ADL)提升的疗效。方法：选取自2022年1月至2023年2月间在我科进行康复训练的60例脑卒中后偏瘫患者，按随机数字表法分为对照组和观察组，每组各30例，两组均接受康复治疗训练，对照组训练结束后进行常规护理，观察组训练结束后进行躯干控制管理，两组观察周期均为3周，在干预前和干预3周后对两组患者进行脑卒中姿势控制量表(PASS)、改良Barthel指数(MBI)及Berg平衡量表(BBS)的评估。结果：干预3周后两组的PASS、MBI及BBS评分均较干预前改善(P < 0.05)；组间比较发现，干预后观察组的PASS、MBI及BBS评分均明显高于对照组(P < 0.05)。结论：躯干控制管理作为脑卒中康复训练的一部分，对于提升患者的平衡功能和ADL具有积极作用。
Objective: To explore the effectiveness of trunk control management in improving balance functions and the ability to perform activities of daily living (ADL) in patients with hemiplegic stroke. Methods: From January 2022 to February 2023, we recruited 60 hemiplegic stroke patients who were undergoing rehabilitation in our department. They were randomly assigned into two groups: an intervention group of 30 patients who received trunk control management at the end of their rehabilitation training, and a control group of 30 patients who received standard care post-training. Both groups were observed over a three-week period. Evaluations were conducted before and after rehabilitation using the Postural Assessment Scale for Stroke (PASS), Modified Barthel Index (MBI), and Berg Balance Scale (BBS). Results: After three weeks of intervention, both groups showed significant improvements in PASS, MBI, and BBS scores compared to before the intervention (P < 0.05). Inter-group comparisons revealed that the intervention group’s PASS, MBI, and BBS scores were significantly higher than those of the control group after the intervention (P < 0.05). Conclusion: Implementing trunk control management as part of stroke rehabilitation training significantly enhances balance functions and the ability of patients to perform ADL.
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