关键词 / KeyWords：
不同频率振动训练,亚急性期脑卒中,肢体功能,神经功能,生活质量
不同频率振动训练对亚急性期脑卒中患者肢体功能及远期生存状态的影响
崔振华 宋振华
海口市人民医院，海南 海口 570208
通信作者：宋振华
【摘要】 目的 探讨不同频率振动训练对亚急性期脑卒中患者肢体功能的影响。方法 选取
2017-07—2020-03 海口市人民医院收治的亚急性期脑卒中患者 100 例，按随机数字表法分为 A 组（高频，25 例）、B 组（中频，25 例）、C 组（低频，25 例）和对照组（25 例）。对比 4 组 NIHSS、SQLS、FMA 和 MAS 评分和 P-ROM 和 A-ROM 及骨密度。结果 干预前，4 组 NIHSS、SQLS、FMA 和 MAS 评分和 P-ROM 和 A-ROM及骨密度比较，无明显差异（P>0.05）。干预后 1 个月和 2 个月，A 组 FMA 评分、P-ROM 和 A-ROM 均显著高于 B、C 和对照组，且 B 组显著高于 C 和对照组；A 组 MAS 评分显著低于 B、C 组和对照组，B 组显著低于 C 和对照组（P<0.05）。干预 2 个月后，A 组骨密度显著高于 B、C 组和对照组，且 B 组显著高于 C 组和对照组；NIHSS 评分显著低于 B、C 组和对照组，且 B 组显著低于 C 组和对照组（P<0.05）。干预 1、2、6 个月后，A组 SQLS 评分显著低于 B、C 组和对照组，且 B 组显著低于 C 组和对照组（P<0.05）。结论 亚急性期脑卒中患者振动训练，可促进其肢体功能恢复，有利于近期精神功能和远期生活质量的提升，其中高频振动训练效果更佳。
【关键词】 不同频率振动训练；亚急性期脑卒中；肢体功能；神经功能；生活质量
【中图分类号】 R743.3 【文献标识码】 A 【文章编号】 1673-5110 （2022） 04-0453-06
基金项目：海南省卫健委科研项目（编号：琼卫科教（2019）13 号）
DOI：10.12083/SYSJ.211991
Effect of different frequency vibration training on limb function of patients with subacute stroke
CUI Zhenhua，SONG Zhenhua
Haikou People’s Hospital，Haikou 570208，China
Corresponding author：SONG Zhenhua
【Abstract】 Objective To explore the effect of different frequency vibration training on the limb function of patients with subacute stroke. Methods One hundred patients with subacute stroke admitted in our hospital from July 2017 to March 2020 were selected and divided into group A （high frequency，25 cases） and group B （intermediate frequency，25 cases）according to the random number table method，group C（low frequency，25 cases）and control group（25 cases）. NIHSS，SQLS，FMA and MAS scores and P-ROM and A-ROM and bone density of the four groups were compared. Results Before intervention，there was no significant difference in NIHSS，SQLS，FMA and MAS scores，P-ROM，A-ROM and bone mineral density among the four groups（P>0.05）. One month and 2 months after the intervention，the FMA score，P-ROM and A-ROM of group A were significantly higher than those of B，C and control group，and group B was significantly higher than group C and control group， while the MAS score of group A was significantly higher than that of group A. All were significantly lower than B，C and control group，and B group was significantly lower than C and control group（P<0.05）. After 2 months of intervention，the bone mineral density of group A was significantly higher than that of group B，C and control group， and group B was significantly higher than that of group C and control group，while the NIHSS score was significantly lower than that of group B，C and control group，and group B significantly Lower than C and control group（P<0.05）. After 1 month，2 months and 6 months of intervention，the SQLS score of group A was significantly lower than that of group B，C and control group，and group B was significantly lower than that of group C and control group（P<0.05）. Conclusion Vibration training in subacute stroke patients can promote the recovery of their limb functions，and is conducive to the improvement of short-term mental function and long-term quality of life.
【Key words】 Different frequency vibration training; Subacute stroke; Limb function; Nerve function;Quality of life
