丁苯酞联合E-link平衡功能训练治疗对老年急性脑梗死患者神经功能的影响

Effects of butylphthalein combined with E-link balance function training on neurological function in elderly patients with acute cerebral infarction

中文关键词: 老年  急性脑梗死  丁苯酞  E-link平衡功能训练  神经功能

英文关键词: elderly  acute cerebral infarction  butylphthalide  E-link balance function training  neurological function

中文摘要:

      目的 探析丁苯酞联合E-link平衡功能训练治疗对老年急性脑梗死患者神经功能的影响.方法 纳入2022年1月—2024年12月于联勤保障部队第九○一医院诊治的115例老年急性脑梗死患者,采用随机数字表法分为干预组(n=58)和对照组(n=57).对照组给予丁苯酞联合常规康复训练治疗,干预组在与对照组相同治疗基础上加用E-link平衡功能训练.采用Fugl-Meyer运动功能评分量表(FMA)、美国国立卫生研究院卒中量表(NIHSS)、Brunel平衡量表(BBA)、简易平衡评定系统测试(mini-BESTest)、Barthel指数量表(Barthel)、焦虑自评量表(SAS)和抑郁自评量表(SDS)对2组患者的运动功能、神经功能、动态平衡功能、日常生活能力及情绪状态进行评估和比较.结果 干预后,干预组患者FMA评分、BBA评分、mini-BESTest评分、Barthel指数评分均高于对照组[(86.5±4.2)vs(75.3±2.4)、(10.9±1.2)vs(9.6±1.2)、(22.7±4.3)vs(20.8±3.7)、(89.3±12.7)vs(64.3±13.0),P=0.001、0.001、0.013、0.001],NIHSS 评分、SAS 评分、SDS 评分均低于对照组[(10.1±2.0)vs(17.0±1.5)、(34.5±2.2)vs(47.3±2.0)、(37.2±1.7)vs(49.2±1.6),P=0.001、0.013、0.013],差异均有统计学意义.结论 丁苯酞联合E-link平衡功能训练治疗可显著改善老年急性脑梗死患者的运动与神经功能,提升其动态平衡能力、日常生活能力及情绪状态.

英文摘要:

      Objective To analyze the effects of butylphthalide combined with E-link balance training on neurological function in elderly patients with acute cerebral infarction.Methods A total of 115 elderly patients with acute cerebral infarc-tion diagnosed and treated in Hospital 901 of Joint Logistics Support Force between January 2022 and December 2024 were in-cluded.They were divided into intervention group(n=58)and control group(n=57)by a random number table method.The control group received butylphthalide combined with conventional rehabilitation training,while the intervention group re-ceived additional E-link balance training based on the same treatment as the control group.The Fugl-Meyer Assessment(FMA),National Institutes of Health Stroke Scale(NIHSS),Brunel Balance Assessment(BBA),Mini-Balance Evaluation Systems Test(Mini-BESTest),Barthel Index,Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS)were used to evaluate and compare motor function,neurological function,dynamic balance ability,activities of daily living,and emotional status between the two groups.Results After the intervention,the scores of FMA[(86.5±4.2)vs(75.3±2.4)],BBA[(10.9±1.2)vs(9.6±1.2)],Mini-BESTest[(22.7±4.3)vs(20.8±3.7)]and Barthel Index[(89.3±12.7)vs(64.3±13.0)]of the intervention group were significantly higher than those of the control(P=0.001,0.001,0.013,0.001,respectively),while the scores of NIHSS[(10.1±2.0)vs(17.0±1.5)],SAS[(34.5±2.2)vs(47.3±2.0)]and SDS[(37.2±1.7)vs(49.2±1.6)]were significantly lower than those of the control(P=0.001,0.013,0.013,respectively).Conclusion Butylphthalide combined with E-link balance training can significantly improve motor and neurological function of elderly patients with acute cerebral infarction,enhance their dynamic balance ability and activities of daily living,and improve emotional status.