| Objective By observing the influence of six word formula on the indexes of exercise endurance,brain natriuretic peptide,activity of daily life and quality of life of hemiplegic patients with ischemic stroke,this paper explores the influence of six word formula on the heart function of hemiplegic patients with ischemic stroke,in order to prevent the decline of heart function of hemiplegic patients with ischemic stroke,and provide effective,cheap and simple rehabilitation nursing technology.Methods From March 2019 to September 2019,74 patients with hemiplegia due to ischemic stroke were diagnosed in the Second Affiliated Hospital of Fujian Medical University and Jinjiang Hospital of traditional Chinese Medicine Affiliated to Fujian University of traditional Chinese medicine.Randomly divided into the experimental group and the control group,the control group adopts routine treatment,routine care and early rehabilitation care,the experimental group,on the basis of the control group,carries out six word Jue training for patients,30 minutes each time,once a day,5days a week,for 12 weeks.Before and after intervention,the differences of exercise endurance(bedside autonomous aerobic time),plasma brain natriuretic peptide(BNP),activities of daily living(MBI score of modified Barthel index scale)and quality of life(SIS score of stroke influence scale)between the two groups were compared.Result In this study,74 hemiplegic patients with ischemic stroke were included,including 37 in the experimental group and 37 in the control group;after the intervention,1 case was lost in the experimental group,3 cases in the control group,and 70 cases completed the cost study,which was included in the statistical analysis.1.There was no difference in the general data(age,gender,body mass index,education level,course of disease,forced sitting,hemiplegic side,hemiplegic side muscle strength,FAC walking function classification,Brunnstrom stage,house brackmann stage,Wada drinking water test)and outcome indicators(exercise endurance,brain natriuretic peptide,ability of daily living and quality of life)between the two groups before intervention Statistical significance(P>0.05),suggesting that the baseline data of the two groups are comparable.2.Exercise endurance:the results showed that the time m of bedside autonomous aerobic bicycle in the two groups was longer than that before the intervention,the difference was statistically significant(P=0.000);the time m of bedside autonomous aerobic bicycle in the experimental group was longer than that in the control group,the difference was statistically significant(P =0.047).3.Plasma brain natriuretic peptide: the results showed that the BNP of the patients in the experimental group was lower than that before the intervention,the difference was statistically significant(P=0.000).There was no significant difference in BNP between the control group and the control group(P=0.164).4.Activities of daily living: the MBI scores of the two groups were higher than that before intervention,the difference was statistically significant(P=0.000);the MBI scores of the experimental group were higher than that of the control group,the difference was statistically significant(P=0.039).5.Quality of life: the analysis results showed that the SIS scores of the two groups in the dimensions of "strength,memory/thinking,communication,daily activities,mobility,hand function of the affected side,participation" and the total scores were higher than those before the intervention,the difference was statistically significant(P=0.000);the difference between the two groups in the dimension of "emotion",the test group(P=0.397),the control group(P=0.703),there was no statistical significance.Compared with the control group,the SIS scores and total scores of "strength"(P=0.021: "emotion"(P=0.030),"communication"(P=0.026),"participation"(P=0.015)in the experimental group were higher(P=0.019),the difference was statistically significant(P<0.05).However,there was no significant difference in "memory/thinking"(P=0.152),"daily activities"(P=0.569),"mobility"(P =0.443),"affected hand function"(P=0.183)between the two groups(P > 0.05).6.Safety analysis: no adverse events occurred in the two groups during the whole study.Conclusion1.The 12 week Liuzijue training can effectively improve the exercise endurance of hemiplegic patients with ischemic stroke,reduce plasma brain natriuretic peptide,and prevent the decline of heart function of hemiplegic patients with ischemic stroke.2.The 12 week Liuzijue training can effectively improve the ability of daily life activities and the quality of life of hemiplegic patients with ischemic stroke.3.Liuzijue is easy to operate,cheap and effective,and easy to accept for hemiplegic patients with ischemic stroke.It is worth popularizing and applying in community and family. |
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