徐萍

[摘要] 目的 探讨目标性功能训练对脑出血术后患者神经功能、认知功能、肢体运动功能和生活质量的影响。方法 选取浙江省永康市第一人民医院2016年1月～2018年1月收治的脑出血患者120例，根据随机纸片法进行分组，对照组（60例）患者采用常规性康复训练，观察组（60例）患者采用目标性功能训练。实施训练干预前后，两组患者进行美国国立卫生研究卒中量表（NIHSS）评分、认知功能评分、Barthel指数、Fugl-Meyer评分、生活质量、日常活动能力（ADL）评分和疗效评价。 结果 干预前，两组NIHSS评分、认知功能评分、Barthel指数、Fugl-Meyer评分、生活质量和ADL评分比较，差异无统计学意义（P > 0.05）;干预后，两组NIHSS评分均低于干预前，认知功能评分、Barthel指数、Fugl-Meyer评分、生活质量和ADL评分均高于干预前，且观察组NIHSS评分低于对照组，认知功能评分、Barthel指数、Fugl-Meyer评分、生活质量和ADL评分高于对照组，差异有统计学意义（P < 0.05）。观察组临床治疗总有效率高于对照组，差异有统计学意义（P < 0.05）。 结论 目标性功能训练在脑出血患者中实施，神经功能、认知功能、肢体运动功能和生活质量均可获得改善，从而提高预后水平，值得临床推广应用。

[关键词] 目标性功能训练;脑出血;神经功能;认知功能;肢体运动功能;生活质量

[中图分类号] R743.34          [文献标识码] A          [文章编号] 1673-7210（2019）06（c）-0177-04

Influence of targeted functional training on the neural function， cognitive function， body movement function and life quality of hematencephalon patients after operation

XU Ping

Medical Examination Center， the First People′s Hospital in Yongkang City， Zhejiang Province， Yongkang   321300， China

[Abstract] Objective To approach the influence of targeted functional training on the neural function， cognitive function， body movement function and life quality of hematencephalon patients after operation. Methods A total of 120 patients with hematencephalon in the First People′s Hospital in Yongkang City of Zhejiang Province from January 2016 to January 2018 was selected， and they were grouped by random paper method， patients in control group （60 cases） were given regular rehabilitation training， and patients in observation group （60 cases） were given targeted functional training. The NIHSS score， cognitive function score， Barthel index， Fugl-Meyer score， life quality， ADL score and therapeutic effect of two groups before and after training intervention were evaluated. Results Before intervention， there was no statistically significant difference in the NIHSS score， cognitive function score， Barthel index， Fugl-Meyer score， life quality and ADL score between the two groups （P > 0.05）. After intervention， the NIHSS scores of the two groups were lower than before intervention， the cognitive function score， Barthel index， Fugl-Meyer score， life quality and ADL score were higher than before intervention， and the NIHSS score of observation group was lower than that of control group， the cognitive function score， Barthel index， Fugl-Meyer score， life quality and ADL score of observation group were higher than those of control group， the differences were statistically significant （P < 0.05）. The total clinical efficiency of observation group was higher than that of control group， the difference was statistically significant （P < 0.05）. Conclusion The implementation of targeted functional training in hematencephalon patients， could improve the neural function， cognitive function， body movement function and life quality， increase prognostic level， it is worthy of clinical application.