Effect of cerebral circulation therapy instrument combined with comprehensive rehabilitation training on the recovery period of acute ischemic stroke

doi:10.3877/cma.j.issn.2095-123X.2022.06.006

Abstract

Abstract:

Objective

To observe the effect of cerebral circulation therapy instrument combined with comprehensive rehabilitation training on the recovery period of patients with acute ischemic stroke.

Methods

The acute ischemic stroke patients admitted to the Department of Neurology of Hai'an Hospital of Traditional Chinese Medicine from January 2018 to December 2019 were selected as the study subjects. According to the nested case-control study method, the patients who received the comprehensive rehabilitation training program after the operation were taken as the comprehensive rehabilitation group (60 cases), and the patients who received the combined comprehensive rehabilitation training program after the operation matched with the baseline data of the comprehensive rehabilitation group were taken as the circulatory rehabilitation group (60 cases). The rehabilitation efficacy indexes and comprehensive rehabilitation indexes of the comprehensive rehabilitation group and the circulatory rehabilitation group were analyzed the difference of curative effect, muscle strength test and adverse events during rehabilitation.

Results

The Barthel score, Fugl-Meyer score, SECD6 score and SS-QOL score of patients in the two groups at 3 and 6 months after operation were higher than those in the first month after operation, and those in the 6 months after operation were higher than those in the 3 months after operation, and those in the circulatory rehabilitation group were higher than those in the comprehensive rehabilitation group, the differences were statistically significant (P<0.05). The NIHSS scores and muscle strength test results of patients in the two groups at 3 and 6 months after operation were lower than those of patients in the first month, and those in the 6 months after operation were lower than those in the 3 months after operation, and those in the circulatory rehabilitation group were lower than those in the comprehensive rehabilitation group, the differences were statistically significant (P<0.05). One year after operation, the effective rate of rehabilitation in the circulatory rehabilitation group (95.00%) was significantly higher than that in the comprehensive rehabilitation group (51.67%) (P<0.05). During the postoperative rehabilitation treatment, the rebleeding rate, re-occlusion rate and mortality rate of patients in the circulatory rehabilitation group were lower than those in the comprehensive rehabilitation group (P<0.05).

Conclusion

It is safe and effective to use cerebral circulation therapy instrument combined with comprehensive rehabilitation training in the postoperative rehabilitation treatment of acute ischemic stroke, which can improve the postoperative rehabilitation effect of patients.

Key words: Acute ischemic stroke, Cerebral circulation therapy instrument, Comprehensive rehabilitation training, Recovery period

Jianhua Zhu, Qianqian Liu, Yulin Zheng, Shuibin Zhu. Effect of cerebral circulation therapy instrument combined with comprehensive rehabilitation training on the recovery period of acute ischemic stroke[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2022, 12(06): 349-354.

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Figures/Tables 5

References 21

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组别	例数	年龄（岁，Mean±SD）	性别（男/女）	合并症[例（%）]
组别	例数	年龄（岁，Mean±SD）	性别（男/女）	高血压	糖尿病	高血脂
综合康复组	60	62.36±8.43	36/24	20（33.33）	11（18.33）	14（23.33）
循环康复组	60	62.68±8.94	35/25	21（35.00）	12（20.00）	13（21.67）
t/χ²值		0.542	0.310	0.335
P值		0.462	0.578	0.563

组别	例数	年龄（岁，Mean±SD）	性别（男/女）	合并症[例（%）]
组别	例数	年龄（岁，Mean±SD）	性别（男/女）	高血压	糖尿病	高血脂
综合康复组	60	62.36±8.43	36/24	20（33.33）	11（18.33）	14（23.33）
循环康复组	60	62.68±8.94	35/25	21（35.00）	12（20.00）	13（21.67）
t/χ²值		0.542	0.310	0.335
P值		0.462	0.578	0.563

评分	组别	例数	术后1个月	术后3个月	术后6个月	F值	P值
Barthel	综合康复组	60	66.44±8.91	75.18±9.23^a	84.58±9.88^ab	6.717	0.010
	循环康复组	60	67.08±8.88	84.91±9.97^a	99.19±10.34^ab	7.883	0.005
	t值		1.058	5.642	7.350
	P值		0.304	0.018	0.007
NIHSS	综合康复组	60	27.15±4.93	20.36±3.94^a	16.81±3.64^ab	7.915	0.005
	循环康复组	60	27.29±4.89	16.46±3.53^a	12.73±3.21^ab	8.617	0.003
	t值		0.569	5.057	5.151
	P值		0.451	0.025	0.023
Fugl-Meyer	综合康复组	60	57.41±10.23	68.32±11.31^a	74.45±12.25^ab	7.774	0.005
	循环康复组	60	58.36±10.39	77.16±12.73^a	89.52±14.61^ab	8.983	0.003
	t值		1.021	7.737	7.960
	P值		0.312	0.005	0.005
SECD6	综合康复组	60	43.48±10.25	52.36±11.13^a	58.84±11.51^ab	6.784	0.009
	循环康复组	60	43.61±10.51	65.06±12.56^a	74.71±14.68^ab	7.953	0.005
	t值		0.536	7.542	8.952
	P值		0.464	0.006	0.003
SS-QOL	综合康复组	60	88.31±14.21	113.13±15.16^a	128.57±16.24^ab	8.262	0.004
	循环康复组	60	88.68±15.21	135.36±16.76^a	164.83±17.61^ab	8.954	0.003
	t值		0.795	9.653	10.043
	P值		0.373	0.002	0.002

评分	组别	例数	术后1个月	术后3个月	术后6个月	F值	P值
Barthel	综合康复组	60	66.44±8.91	75.18±9.23^a	84.58±9.88^ab	6.717	0.010
	循环康复组	60	67.08±8.88	84.91±9.97^a	99.19±10.34^ab	7.883	0.005
	t值		1.058	5.642	7.350
	P值		0.304	0.018	0.007
NIHSS	综合康复组	60	27.15±4.93	20.36±3.94^a	16.81±3.64^ab	7.915	0.005
	循环康复组	60	27.29±4.89	16.46±3.53^a	12.73±3.21^ab	8.617	0.003
	t值		0.569	5.057	5.151
	P值		0.451	0.025	0.023
Fugl-Meyer	综合康复组	60	57.41±10.23	68.32±11.31^a	74.45±12.25^ab	7.774	0.005
	循环康复组	60	58.36±10.39	77.16±12.73^a	89.52±14.61^ab	8.983	0.003
	t值		1.021	7.737	7.960
	P值		0.312	0.005	0.005
SECD6	综合康复组	60	43.48±10.25	52.36±11.13^a	58.84±11.51^ab	6.784	0.009
	循环康复组	60	43.61±10.51	65.06±12.56^a	74.71±14.68^ab	7.953	0.005
	t值		0.536	7.542	8.952
	P值		0.464	0.006	0.003
SS-QOL	综合康复组	60	88.31±14.21	113.13±15.16^a	128.57±16.24^ab	8.262	0.004
	循环康复组	60	88.68±15.21	135.36±16.76^a	164.83±17.61^ab	8.954	0.003
	t值		0.795	9.653	10.043
	P值		0.373	0.002	0.002

项目	组别	例数	术后7 d	术后1个月	术后3个月	F值	P值
坐位扩胸	综合康复组	60	33.83±11.21	28.19±9.56^a	24.54±9.03^ab	8.251	0.004
	循环康复组	60	34.25±11.31	18.26±8.15^a	12.52±6.51^ab	8.463	0.004
	t值		4.546	7.543	9.657
	P值		0.033	0.006	0.002
卧位上举	综合康复组	60	38.25±12.62	30.66±11.21^a	27.51±9.56^ab	9.365	0.002
	循环康复组	60	52.95±6.01	22.16±9.62^a	19.56±6.25^ab	9.625	0.002
	t值		7.346	7.964	8.753
	P值		0.007	0.005	0.003
站位下蹲	综合康复组	60	26.35±7.82	22.79±6.18^a	21.51±5.99^ab	8.156	0.004
	循环康复组	60	25.16±7.16	18.91±5.71^a	14.25±5.25^ab	9.262	0.002
	t值		4.434	7.467	8.567
	P值		0.035	0.004	0.004
站位抬膝	综合康复组	60	32.25±9.90	25.48±6.14^a	22.15±5.36^ab	9.625	0.002
	循环康复组	60	33.01±10.21	19.43±5.14^a	14.25±3.25^ab	10.362	0.001
	t值		4.356	8.457	8.956
	P值		0.037	0.004	0.003

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