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1. 辽阳市中心医院特需病房
2. 辽阳市中心医院普外四科
3. 辽阳市中心医院儿科
纸质出版日期:2021,
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郎朗, 王琪琳, 矫美慧. 早期康复训练对急性脑梗死患者神经功能、运动功能及血清学指标的影响[J]. 保健医学研究与实践, 2021,18(5):107-110.
Lang Lang, Wang Qilin, Jiao Meihui. Effects of early rehabilitation training on neurological function, motor function and serological indexes in patients with acute cerebral infarction[J]. Health Medicine Research and Practice, 2021,18(5):107-110.
郎朗, 王琪琳, 矫美慧. 早期康复训练对急性脑梗死患者神经功能、运动功能及血清学指标的影响[J]. 保健医学研究与实践, 2021,18(5):107-110. DOI:
Lang Lang, Wang Qilin, Jiao Meihui. Effects of early rehabilitation training on neurological function, motor function and serological indexes in patients with acute cerebral infarction[J]. Health Medicine Research and Practice, 2021,18(5):107-110. DOI:
目的探讨早期康复训练对急性脑梗死患者神经功能、运动功能及血清学指标的影响。方法选取2018年1月-2020年1月辽宁省某医院收治的130例急性脑梗死患者
采用随机数字表法分为对照组和观察组
每组65例。对照组患者给予常规护理干预
观察组患者在对照组基础上给予早期康复训练。比较2组患者干预前后神经功能、运动功能、日常生活能力及血清学指标水平。结果干预前
2组患者血清神经生长因子(NGF)、神经元特异性烯醇化酶(NSE)、脑源性神经营养因子(BDNF)水平比较
差异无统计学意义(P>0.05);干预后
2组患者血清NGF、BDNF水平高于干预前且观察组高于对照组
而NSE水平低于干预前且观察组低于对照组
差异均有统计学意义(P<0.05)。干预前
2组患者Barthel指数量表(MBI)、Fugl-Meyer运动功能量表(FMA)评分比较
差异无统计学意义(P>0.05);干预后
2组患者MBI、FMA评分均高于干预前
且观察组高于对照组
差异均有统计学意义(P<0.05)。干预前
2组患者血清白细胞介素-6(IL-6)、超敏C-反应蛋白(hsCRP)、肿瘤坏死因子-α(TNF-α)水平比较
差异无统计学意义(P>0.05);干预后
2组患者IL-6、hs-CRP、TNF-α水平均低于干预前
且观察组低于对照组
差异均有统计学意义(P<0.05)。结论早期康复训练有助于改善急性脑梗死患者神经功能
促进肢体运动功能恢复
减轻炎症反应。
Objective To explore the effect of early rehabilitation training on neurological function
motor function and serological indexes in patients with acute cerebral infarction. Methods A total of 130 patients with acute cerebral infarction treated in a hospital in Liaoning Province from January 2018 to January 2020 were randomly divided into control group and observation group
with 65 cases in each group. The patients in the control group were given routine nursing intervention
and the patients in the observation group were given early rehabilitation training on the basis of the control group. The levels of neurological function
motor function
activity of daily life and serological indexes were compared between the two groups before and after intervention. Results Before intervention
there was no significant difference in levels of nerve growth factor(NGF)
neuron-specific enolase(NSE) and brain-derived neurotrophic factor(BDNF) between the two groups(P>0.05). After intervention
the levels of serum NGF and BDNF in the two groups were higher than those before intervention
and those in the observation group were higher than those in the control group
while the level of NSE in the two groups were lower than those before intervention
and those in the observation group was lower than that in the control group. The differences were statistically significant(P<0.05). Before intervention
there was no significant difference in the scores of the Barthel index scale(MBI) and Fugl-Meyer Assessment(FMA) between the two groups(P>0.05). After intervention
the scores of MBI and FMA in the two groups were higher than those before intervention
and the scores in the observation group were significantly higher than those in the control group
the differences were statistically significant(P<0.05). Before intervention
there was no significant difference in the levels of serum interleukin-6(IL-6)
hypersensitive C-reactive protein(hs-CRP) and tumor necrosis factor-α(TNF-α) between the two groups(P>0.05). After intervention
the levels of IL-6
hs-CRP and TNF-α in the two groups were lower than those before intervention
and the levels in the observation group were lower than those in the control group
the differences were statistically significant(P <0.05).Conclusion Early rehabilitation training can help to improve the neurological function of patients with acute cerebral infarction
promote the recovery of limb motor function and reduce inflammatory reaction.
急性脑梗死早期康复训练运动功能白细胞介素-6超敏C-反应蛋白
Acute cerebral infarctionEarly rehabilitation trainingMotor functionInterleukin-6Hypersensitive C-reactive protein
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