运动程序的感觉输入治疗对恢复期脑卒中患者 日常生活能力及肢体功能的影响

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　　[摘要] 目的 探討运动程序的感觉输入治疗对恢复期脑卒中患者日常生活能力及肢体功能的影响。 方法 选择2017年1月～2018年12月在我院接受治疗的康复期脑卒中患者96例，采用随机数字表法将患者分为两组，每组48例。对照组行常规康复训练，观察组在此基础上加以运动程序的感觉输入治疗。比较两组患者的日常生活能力评分、肢体功能评分、生活质量评分及负性情绪评分。 结果 干预前两组患者的日常生活能力评分比较，差异无统计学意义（t=0.327，P>0.05），干预后观察组日常生活能力评分明显高于对照组（t=-5.788，P<0.05）。干预前两组患者上、下肢肢体功能评分比较，差异均无统计学意义（t=-0.189，-0.497，P>0.05），干预后观察组上、下肢肢体功能评分均明显高于对照组（t=-3.616，-8.093，P<0.05）。干预前两组患者生活质量评分比较，差异无统计学意义（t=0.226，P>0.05），干预后观察组生活质量评分明显高于对照组（t=-6.220，P<0.05）。干预前两组患者SAS、SDS评分比较，差异无统计学意义（t=-0.178、-0.393，P>0.05），干预后观察组患者SAS、SDS评分均明显低于对照组（t=11.108、5.985，P<0.05）。 结论 运动程序的感觉输入治疗较常规康复运动训练可明显提高恢复期脑卒中患者日常生活能力、改善患者肢体功能、缓解负性情绪、提高生活质量。
　　[关键词] 运动程序;感觉输入治疗;恢复期;脑卒中
　　[中图分类号] R493;R743.3          [文献标识码] B          [文章编号] 1673-9701（2020）09-0115-04
　　[Abstract] Objective To investigate the effect of sensory input therapy for exercise programs on daily life ability and limb function in patients with convalescent stroke. Methods A total of 96 patients with convalescent stroke who were treated in our hospital from January 2017 to December 2018 were enrolled. The patients were divided into two groups using a random number table method， with 48 cases in each group. The control group received routine rehabilitation training， and the observation group also received the sensory input therapy of the exercise program based on the routine rehabilitation training. The daily living ability  score， physical function score， quality of life score and negative emotions score of the two groups were compared. Results There was no significant difference in daily living ability score between the two groups before intervention（t=0.327， P>0.05）. The daily living ability score of the observation group was significantly higher than that of the control group after intervention（t=-5.788， P<0.05）. There were no significant differences in limb function of the upper and lower limbs score between the two groups before intervention（t=-0.189， -0.497， P>0.05）. The limb function score of the upper and lower limbs of the observation group was significantly higher than that of the control group after intervention（t=-3.616， -0.893， P<0.05）. There was no significant difference in quality of life score between the two groups before intervention（t=0.226， P>0.05）. The quality score of life of the observation group was significantly higher than that of the control group after intervention（t=-6.220， P<0.05）. There were no significant differences in SAS and SDS score  between the two groups before intervention（t=-0.178， -0.393， P>0.05）. The SAS and SDS score of the observation group were significantly lower than those of the control group after intervention（t=11.108， 5.985， P<0.05）. Conclusion The sensory input therapy of exercise program can significantly improve the daily living ability of patients with convalescent stroke， improve the limb function， relieve negative emotions and improve the quality of life.
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