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目的观察视空间能力障碍测评和增强型体外反搏等综合康复方法对评价和治疗脑栓塞患者的效果。方法脑栓塞患者78例,随机分为A、B两组。A组进行常规康复训练,B组除此之外,还使用增强型体外反搏器(气囊压力0.35~0.40 mPa.cm2)进行治疗,1次/d,每次1 h,14次为1个疗程,规律治疗4个疗程。采用改良Barthel指数、生存质量量化表和临床症状综合计分法等进行疗效评定。结果治疗后2月后,两组患者临床症状综合计分与治疗前比较均有明显提高(P<0.01);B组的改良BI指数较A组显著提高(P<0.01);而且,B组的生存质量评定总分、精力、家庭角色、活动、情绪、自理能力、社会角色和上肢功能各因子分均显著高于A组。结论采用视空间能力障碍测评等方法能准确评价脑栓塞的疗效;综合康复方法联合增强型体外反搏可显著改善脑栓塞患者的临床症状。
Objective To observe the effects of comprehensive assessment of physical ability impairment and enhanced external counterpulsation on the evaluation and treatment of patients with cerebral embolism. Methods 78 patients with cerebral embolism were randomly divided into A and B groups. Group A received routine rehabilitation training. Group B was treated with an enhanced external pacing device (balloon pressure 0.35-0.40 mPa.cm2) once a day for 1 hour and once for 14 times Course of treatment, regular treatment 4 courses. The curative effect was evaluated by modified Barthel index, quality of life quantification table and comprehensive clinical symptom score. Results After 2 months of treatment, the scores of clinical symptoms in both groups were significantly increased (P <0.01); the improved BI index in group B was significantly higher than that in group A (P <0.01); and in group B The total scores of QOL, energy, family roles, activities, emotions, self-care ability, social roles and upper extremity function scores were significantly higher than those in group A. Conclusion The method of visual space obstacle assessment can accurately evaluate the efficacy of cerebral embolism. The comprehensive rehabilitation method combined with enhanced extra-corporeal cardiopulmonary bypass can significantly improve the clinical symptoms of patients with cerebral embolism.