缺血性脑卒中患者早期非偏瘫侧渐进式抗阻运动方案的构建及效果研究

doi:10.3761/j.issn.2096-7446.2025.07.001

摘要/Abstract

摘要：

目的构建缺血性脑卒中患者早期非偏瘫侧渐进式抗阻运动方案并评价其应用效果。方法通过文献研究与专家咨询构建缺血性脑卒中患者早期非偏瘫侧渐进式抗阻运动方案。选取湖南省某三级甲等医院2023年12月—2024年8月神经内科两个病区住院治疗的缺血性脑卒中偏瘫患者70例，按抛硬币法分组，每组各35例。试验组在对照组的基础上进行早期非偏瘫侧渐进式抗阻运动干预，对照组实施常规康复训练。比较两组患者平衡能力、活动能力、肌肉力量以及骨密度。结果试验组干预后平衡能力评分高于对照组（Z=-3.060，P=0.002），自理能力、步行功能、双侧握力、肌肉指数以及骨密度均高于对照组（P<0.05），5次坐立试验时间少于对照组（P<0.05）。结论早期非偏瘫侧渐进式抗阻运动有助于改善缺血性脑卒中偏瘫患者平衡能力、活动能力、肌肉力量和骨密度。

关键词: 脑卒中, 抗阻运动, 平衡能力, 活动能力, 肌力, 康复护理

Abstract:

Objective To construct the early progressive resistance exercise program for the non-hemiplegic side in ischemic stroke patients and evaluate its effects. Methods Through literature research and expert consultation，the progressive resistance exercise program of non-hemiplegic side in the early stage of ischemic stroke patients was constructed. A total of 70 patients with ischemic stroke hemiplegia who were hospitalized in two wards of the Department of Neurology from December 2023 to August 2024 in a Grade-III first-class hospital in Hunan Province were selected. There were 35 cases in each group according to the coin toss method. The control group received routine rehabilitation training，and the experimental group received early progressive resistance exercise intervention on the non-hemiplegic side on the basis of interventions in the control group. Balance ability，self-care ability，walking function，bilateral grip strength，lower limb muscle strength，muscle index and bone density were compared between the two groups.Results After intervention，the balance ability score of experimental group was higher than that of control group（Z=-3.060，P=0.002）. Self-care ability，walking function，bilateral grip strength，muscle index and bone density were higher than those of control group（P<0.05），and the time of 5 sit-stand tests was shorter than that of control group（P<0.05）. Conclusion The early progressive resistance exercise for the non-hemiplegic side is beneficial to improve balance，mobility，muscle strength，muscle index and bone density in hemiplegic patients with ischemic stroke.

Key words: Stroke, Resistance Exercise, Balance Capacity, Mobility, Muscle Strength, Rehabilitation Nursing

幸超群, 严艳, 王洁, 高娥, 张明月, 高传英. 缺血性脑卒中患者早期非偏瘫侧渐进式抗阻运动方案的构建及效果研究[J]. 中华急危重症护理杂志, 2025, 6(7): 773-779.

XING Chaoqun, YAN Yan, WANG Jie, GAO E, ZHANG Mingyue, GAO Chuanying. Construction and effect research of early progressive resistance exercise program for the non-hemiplegic side in ischemic stroke patients[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(7): 773-779.

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