陈斌;吴显儒;凌政;罗姬;黄天丽;何健;

• 1:北流市人民医院

摘要(Abstract)：

目的观察丁苯酞(NBP)联合智能机器手对急性脑梗死偏瘫(ACIH)患者手功能的作用。方法选取2019-03—2020-03北流市人民医院收治的80例ACIH手偏瘫患者,按随机数字表法分为对照组与研究组,每组40例。对照组患者使用常规方法治疗,研究组患者使用常规方法+NBP氯化钠注射液+智能机器手康复训练治疗。对比2组患者治疗20 d后的疗效,以及治疗前、治疗10 d、治疗20 d后神经功能缺损程度(NIHSS评分)、日常生活能力(ADL评分)、手功能(最大握力、夹指压力)、脑血流情况[大脑前动脉(ACA)、大脑中动脉(MCA)、大脑后动脉(PCA)的峰值流速(Vp)和平均速度(Vm)]。结果治疗20 d后,研究组总有效率92.50%,显著高于对照组的75.00%(P<0.05)。治疗10 d、治疗20 d后,2组患者NIHSS评分较治疗前显著下降,而ADL评分、最大握力、夹指压力,ACA、MCA、PCA的Vp和Vm均显著上升(P<0.05),且研究组患者上述指标与同期对照组对比差异均有统计学意义(P<0.05)。结论 NBP注射液与智能机器手联合治疗ACIH手偏瘫患者的疗效显著,可改善神经功能缺损,提升日常生活能力,促进手功能恢复,改善脑血流,有较好的应用价值。

关键词(KeyWords)： 急性脑梗死;偏瘫;丁苯酞氯化钠注射液;智能机器手;手功能;脑血流

Abstract:

Keywords:

基金项目(Foundation): 广西壮族自治区卫生健康委员会自筹经费科研项目(编号:Z20190624)

作者(Authors): 陈斌;吴显儒;凌政;罗姬;黄天丽;何健;

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