Bobath训练法对脑中风患者平衡功能恢复的影响 ?(1)
【摘要】 目的：探讨Bobath训练法对脑中风患者平衡功能恢复的影响。方法：选取2017年8月-2019年8月笔者所在医院脑中风患者100例，随机分为常规康复治疗组和Bobath训练组，各50例。常规康复治疗组采用常规康复治疗，Bobath训练组在常规康复治疗基础上采用Bobath训练法。对比两组治疗前后NIHSS、BBS、FMA、MBI评分及临床疗效。结果：Bobath训练组治疗后NIHSS评分显著低于常规康复治疗组，BBS、FMA、MBI评分均显著高于常规康复治疗组，差异均有统计学意义(P<0.05)。Bobath训练组总有效率为84.0%，显著高于常规康复治疗组的62.0%，差异有统计学意义(P<0.05)。结论：Bobath训练法能够有效促进脑中风患者平衡功能恢复。
【关键词】 Bobath训练法 脑中风 平衡功能
[Abstract] Objective： To explore the effect of Bobath training method on balance function recovery of patients with stroke. Method： A total of 100 patients with stroke in our hospital from August 2017 to August 2019 were selected and randomly divided into the routine rehabilitation treatment group and the Bobath training group， 50 cases in each group. The routine rehabilitation treatment group was treated with routine rehabilitation treatment， and the Bobath training group was treated with Bobath training on the basis of routine rehabilitation treatment. NIHSS， BBS， FMA， MBI scores before and after treatment and clinical efficacy were compared between the two groups. Result： After treatment， the NIHSS score of the Bobath training group was significantly lower than that of the routine rehabilitation treatment group， while the BBS， FMA and MBI scores were significantly higher than those of the routine rehabilitation treatment group， and the differences were statistically significant (P<0.05). The total effective rate of the Bobath training group was 84.0%， which was significantly higher than 62.0% of the routine rehabilitation treatment group， and the difference was statistically significant (P<0.05). Conclusion： Bobath training method can effectively promote the recovery of balance function of stroke patients.
在我国，脑中风是一种多发病，具有后遗症多、致残率高的特点，通常情况下可引发不同程度的肢体运动障碍，对患者的社会活动及生存质量造成严重不良影响[1]。Bobath球训练是将Bobath球的易滚动、轻便、简单易操作等优势充分结合起来，不受空间、场地等限制，是一种针对脑中风患者骨盆、躯干及下肢的训练[2]。本研究选取2017年8月-2019年8月笔者所在医院脑中风患者100例，主要探讨Bobath训练法对脑中风患者平衡功能恢复的影响。
1 资料与方法
1.1 一般资料
随机选取2017年8月-2019年8月笔者所在医院脑中风患者100例。纳入标准：(1)均为首次发病;(2)生命体征稳定;(3)均经头颅CT或MRI检查证实为脑中风。排除标准：(1)充血性心力衰竭;(2)严重认知障碍;(3)不稳定性脑中风。随机分为常规康复治疗组(n=50)和Bobath训练组(n=50)，两组一般资料比较，差异均无统计学意义(P>0.05)，见表1。患者均知情同意，且研究通过医院伦理委员会批准。
1.2 方法
常规康复治疗组接受常规康复治疗，督促患者早日下床活动，并积极进行早期功能训练。Bobath训练组在常规康复治疗基础上接受Bobath训练法治疗，具体操作：(1)使患者取仰卧位，固定Bobath球，在Bobath球上放置患侧下肢，往复式摆动下肢。使患者俯卧于球上，使脊柱及四肢伸展，护理人员在其后方扶持两肘部，使肘屈曲支撑于球上。通过球的前后、左右滚动，促使患者身体前后、左右移动。使患者俯卧于球上，护理人员两手扶持骨盆部，另其抬起上半身，促进髋关节伸展。(2)指导患者强化骨盆、躯干与下肢功能训练，避免疲劳，15～20 min/次，1次/d，6次/周，1周为1个疗程，共治疗4個疗程。训练后及时监测脉搏、血压。, http://www.100md.com(梁勇超 陈彩霞)
【关键词】 Bobath训练法 脑中风 平衡功能
[Abstract] Objective： To explore the effect of Bobath training method on balance function recovery of patients with stroke. Method： A total of 100 patients with stroke in our hospital from August 2017 to August 2019 were selected and randomly divided into the routine rehabilitation treatment group and the Bobath training group， 50 cases in each group. The routine rehabilitation treatment group was treated with routine rehabilitation treatment， and the Bobath training group was treated with Bobath training on the basis of routine rehabilitation treatment. NIHSS， BBS， FMA， MBI scores before and after treatment and clinical efficacy were compared between the two groups. Result： After treatment， the NIHSS score of the Bobath training group was significantly lower than that of the routine rehabilitation treatment group， while the BBS， FMA and MBI scores were significantly higher than those of the routine rehabilitation treatment group， and the differences were statistically significant (P<0.05). The total effective rate of the Bobath training group was 84.0%， which was significantly higher than 62.0% of the routine rehabilitation treatment group， and the difference was statistically significant (P<0.05). Conclusion： Bobath training method can effectively promote the recovery of balance function of stroke patients.
在我国，脑中风是一种多发病，具有后遗症多、致残率高的特点，通常情况下可引发不同程度的肢体运动障碍，对患者的社会活动及生存质量造成严重不良影响[1]。Bobath球训练是将Bobath球的易滚动、轻便、简单易操作等优势充分结合起来，不受空间、场地等限制，是一种针对脑中风患者骨盆、躯干及下肢的训练[2]。本研究选取2017年8月-2019年8月笔者所在医院脑中风患者100例，主要探讨Bobath训练法对脑中风患者平衡功能恢复的影响。
1 资料与方法
1.1 一般资料
随机选取2017年8月-2019年8月笔者所在医院脑中风患者100例。纳入标准：(1)均为首次发病;(2)生命体征稳定;(3)均经头颅CT或MRI检查证实为脑中风。排除标准：(1)充血性心力衰竭;(2)严重认知障碍;(3)不稳定性脑中风。随机分为常规康复治疗组(n=50)和Bobath训练组(n=50)，两组一般资料比较，差异均无统计学意义(P>0.05)，见表1。患者均知情同意，且研究通过医院伦理委员会批准。
1.2 方法
常规康复治疗组接受常规康复治疗，督促患者早日下床活动，并积极进行早期功能训练。Bobath训练组在常规康复治疗基础上接受Bobath训练法治疗，具体操作：(1)使患者取仰卧位，固定Bobath球，在Bobath球上放置患侧下肢，往复式摆动下肢。使患者俯卧于球上，使脊柱及四肢伸展，护理人员在其后方扶持两肘部，使肘屈曲支撑于球上。通过球的前后、左右滚动，促使患者身体前后、左右移动。使患者俯卧于球上，护理人员两手扶持骨盆部，另其抬起上半身，促进髋关节伸展。(2)指导患者强化骨盆、躯干与下肢功能训练，避免疲劳，15～20 min/次，1次/d，6次/周，1周为1个疗程，共治疗4個疗程。训练后及时监测脉搏、血压。, http://www.100md.com(梁勇超 陈彩霞)
参见：首页 > 医疗版 > 疾病专题 > 神经内科 > 脑血管病 > 中风(脑卒中)