PNF技术与居家康复联合治疗缺血性脑卒中患者的临床疗效

doi:10.20223/j.cnki.1000-8535.2025.10.012

摘要/Abstract

摘要： 目的探究本体感觉神经肌肉促进疗法（PNF）技术与居家远程康复治疗对缺血性脑卒中患者凝血功能、平衡状态的影响。方法选择2023年1月—2024年1月在宁乡市中医医院择期治疗的60例缺血性脑卒中患者为研究对象。按照患者选择的治疗方案进行分组,观察组接受PNF技术联合居家远程康复指导治疗,对照组接受常规居家远程康复指导治疗。记录疗效、凝血功能、神经功能缺损症状。结果凝血功能方面,观察组治疗后活化部分凝血酶时间（APTT）、凝血酶原时间（PT）高于治疗前,二聚体（D-D）、纤维蛋白原（FIB）低于治疗前,组间比较差异有统计学意义（P<0.05）。与对照组相比,观察组的APTT、PT、D-D、FIB指标相近,组间比较差异无统计意义（P>0.05）。治疗后,观察组平衡功能（BBS）评分比治疗前高,组间比较差异有统计学意义（P<0.05）。观察组BBS评分、FMA评分、肌力等级更高,组间比较差异有统计学意义（P<0.05）。结论 PNF技术+居家远程康复指导治疗可作为缺血性脑卒中患者治疗的有效手段。联合治疗后凝血功能、平衡状态、肢体功能状况、肌力明显改善,可见联合治疗对于减轻患者病情尤为明显。

关键词: 缺血性脑卒中, 凝血功能, 居家远程康复指导, 本体感觉神经肌肉促进疗法

Abstract: Objective To explore the effects of proprioceptive neuromuscular facilitation（PNF）and home-based remote rehabilitation on coagulation function and balance function in patients with ischemic stroke．Methods From January 2023 to January 2024,60 patients with ischemic stroke were selected from our hospital．The patients were divided into two groups according to the treatment plan chosen by themselves．The patients in the observation group received PNF technology combined with home-based remote rehabilitation guidance,while the patients in the control group received routine home-based remote rehabilitation guidance．The curative effect,coagulation function and neurological deficit were recorded．Results After treatment,activated partial thrombin time（APTT）and prothrombin time（PT）were significantly higher,D-dimer（D-D）and fibrinogen（FIB）were significantly lower in the observation group than those before treatment（P<0.05）．Compared with the control group,the APTT,PT,D-D and FIB of the observation group were similar,and there was no significant difference between the two groups（P>0.05）．After treatment,the Berg Balance Scale score of the observation group was higher than that before treatment,and there was significant difference between the two groups（P<0.05）．The Berg Balance Scale score,Fugl-Meyer Assessment score and muscle strength grade of observation group were higher than those of control group（P<0.05）．Conclusions PNF combined with home-based remote rehabilitation can be used as an effective method for the treatment of patients with ischemic stroke．The coagulation function,balance,extremity function and muscle strength were significantly improved after combined treatment,which indicated that the combined treatment was especially effective in relieving the patients’ symptoms．

Key words: ischemic stroke, coagulation function, home-based remote rehabilitation guidance, PNF technique

张娟, 刘胜明, 薛永红. PNF技术与居家康复联合治疗缺血性脑卒中患者的临床疗效[J]. 广州医药, 2025, 56(10): 1404-1408.

ZHANG Juan, LIU Shengming, XUE Yonghong. Clinical efficacy of PNF combined with home-based rehabilitation in patients with ischemic stroke[J]. Guangzhou Medical Journal, 2025, 56(10): 1404-1408.

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