Effect of intensive cardio-pulmonary rehabilitation training on exercise and cardio-pulmonary function recovery in hemiplegic patients after stroke
强化心肺康复训练对脑卒中后偏瘫患者运动及心肺功能恢复的影响

摘要

目的 探究强化心肺康复训练对脑卒中偏瘫患者运动及心肺功能恢复的影响｡方法 本次选取2022年1月--6月期间在我院进行康复治疗的脑卒中后偏瘫患者，共70例，为本次研究对象，采用随机分组方式，将所选患者随机分为对照组与观察组，每组各35例。对照组采用常规康复训练及用药；观察组患者在常规康复训练及用药的同时，开展强化心肺康复训练｡对两组患者在康复训练前及康复训练12周后分别进行临床效果评价。结果 康复训练前两组患者的FMA、LVEF､LVESD、MBI评分均无显著性差异（P>0.05）；康复训练后两组患者运动功能、心肺功能及生活自理能力均有改善，且实验组较对照组FMA升高更明显，实验组LVEF和LVESD较对照组升高和降低更明显，实验组MBI指数较前显著提升（P<0.01）｡结论 强化心肺康复训练较常规康复训练应用于脑卒中后偏瘫患者的康复训练的改善效果明显｡

Abstract

Objectives To explore the effect of intensive cardiopulmonary rehabilitation training on exercise and cardiopulmonary function recovery of stroke patients with hemiplegia.
Methods: A total of 70 patients with hemiplegia after stroke who received rehabilitation treatment in our hospital from January to June 2022 were selected as the objects of this study. The selected patients were randomly divided into control group and observation group, with 35 cases in each group. The control group received routine rehabilitation training and medication. Observation group received intensive cardiopulmonary rehabilitation training on the basis of control group. Clinical effects were evaluated before rehabilitation training and 12 weeks after rehabilitation training in the two groups, including the effects of cardiopulmonary rehabilitation training on the exercise and cardiopulmonary function of stroke patients exercise evaluation, cardiopulmonary function evaluation and daily living ability evaluation.
Results: There were no significant differences in FMA, LVEF, LVESD and MBI scores between 2 groups before rehabilitation training (P>0.05). After rehabilitation training, the FMA, LVEF, LVESD and MBI of the two groups were improved, and the FMA of the experimental group was increased more significantly than that of the control group, the LVEF and LVESD of the experimental group were increased and decreased more significantly than that of the control group, and the MBI index of the experimental group was significantly increased (P<0.01).
Conclusion  : Compared with conventional rehabilitation training, intensive cardiopulmonary rehabilitation training has obvious effects on the improvement of motor function, cardiopulmonary function and daily living ability of stroke patients with hemiplegia, and is worthy of clinical promotion and application.