| 陈灿冰,刘小英.基于镜像神经元理论的脑卒中偏瘫患者延续性家庭干预方案的构建及效果观察[J].中国康复,2025,40(10):606-610 |
| 基于镜像神经元理论的脑卒中偏瘫患者延续性家庭干预方案的构建及效果观察 |
| Construction and clinical application effect of continuous family intervention program for stroke hemiplegic patients based on mirror neuron theory |
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| DOI：10.3870/zgkf.2025.10.005 |
| 中文关键词: 镜像神经元理论 脑卒中偏瘫 延续性家庭干预 方案构建 应用效果 |
| 英文关键词: mirror neuron theory stroke hemiplegia continuation intervention protocol construction application effect |
| 基金项目:福建省自然科学基金资助项目（2021JO11270） |
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| 中文摘要: |
| 目的：构建基于镜像神经元理论的延续性家庭干预方案，评估其对脑卒中偏瘫患者的临床应用效果。方法：选取脑卒中偏瘫患者70例，按照随机数字表法分为对照组和观察组各35例。出院后，对照组给予常规延续干预。观察组给予基于镜像神经元理论的延续性干预方案，各12周。分别于干预前后采用Fugl-Meyer运动功能评估量表下肢部分（FMA-LE）、Berg评分量表（BBS）、步态分析评分量表（TGA）评估患者下肢功能、平衡能力、步态情况，采用日常生活活动能力量表（ADL）、焦虑自评量表（SAS）和抑郁自评量表（SDS）评估患者生活能力、心理状态，采用酶联免疫吸附试验法检测外周血高敏-C反应蛋白（hs-CRP）、同型半胱氨酸（Hcy）、脂蛋白（Lp）水平，采用一般自我效能感量表（GSES）、脑卒中生命质量测定量表（QLICD-ST）评估患者自我效能感、生命质量。结果：干预后，2组患者FMA-LE、BBS、TGA、ADL、GSES、QLICD-ST评分均升高（均P<0.01），SAS、SDS评分及hs-CRP、Hcy、Lp水平均降低（均P<0.01）。干预后，观察组FMA-LE、BBS、TGA、ADL、GSES、QLICD-ST评分均高于对照组（均P<0.01）；SAS、SDS评分及hs-CRP、Hcy、Lp水平均低于对照组（均P<0.01）。结论：构建基于镜像神经元理论的延续性家庭干预方案，对脑卒中偏瘫患者进行临床干预，能更好地改善患者肢体功能、平衡能力，缓解心理负性情绪，提高自我效能感和生命质量。 |
| 英文摘要: |
| Objective: To construct a continuous family intervention program based on the theory of mirror neurons and evaluate its clinical application in patients with hemiplegia after stroke. Methods: A total of 70 patients with hemiplegia following stroke were selected. Using a random number table method, these patients were divided into a control group and an observation group, each consisting of 35 cases. The control group received routine ongoing interventions, and the observation group was treated with a continuous intervention plan based on the mirror neuron theory. Fugl-Meyer assessment of lower extremity (FMA-LE), Berg balance scale (BBS), and Tinetti gait analysis (TGA) were assessed. The daily living activities (ADL), anxiety self-rating scale (SAS), and depression self-rating scale (SDS) were used to evaluate the patients’ daily living abilities and psychological states. High-sensitivity C-reactive protein (hs-CRP), homocysteine (Hcy), and lipoprotein (Lp) levels were measured using the ELISA method. General self-efficacy scale (GSES) and stroke quality of life measurement scale (QLICD-ST) were used to assess the patients’self-efficacy and quality of life. Results: After the intervention, the FMA-LE score, BBS score, TGA score, ADL score, GSES score, and QLICD-ST score all increased, and the SAS score, SDS score, hs-CRP, Hcy, and Lp levels all decreased in both groups as compared with those before intervention (all P<0.01). After the intervention, the observation group showed increases in the FMA-LE score, BBS score, TGA score, ADL score, GSES score, and QLICD-ST score(all P<0.01), and decreases in the SAS score, SDS score, hs-CRP, Hcy, and Lp levels as compared with the control group (all P<0.01). Conclusion: The continuous family intervention program based on the theory of mirror neurons was constructed to conduct clinical intervention for patients with hemiplegia after stroke, which could improve their limb function and balance ability, relieve negative psychological emotions, and improve their self-efficacy and quality of life. |
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