基于虚拟现实技术的功能锻炼对术后脑出血患者神经功能康复的作用

目的探讨基于虚拟现实技术的功能锻炼对脑出血后的老年患者神经功能康复的作用。 方法2017年1月至2018年6月前瞻性收集张家港市中医医院收治的脑出血患者110例，随机分为观察组和对照组，各55例。观察组给予基于虚拟现实技术的功能锻炼，对照组给予常规功能锻炼，2组治疗时间均为6个月。采用简化Fugl-Meyer运动功能评分法、Berg平衡量表评估患者的运动和平衡功能，采用Barthel指数和简易精神状态检查（MMSE）量评价患者的生活能力和认知功能，采用焦虑自评量表（SAS）和抑郁自评量表（SDS）评估患者的心理健康状况。 结果2组治疗前简化Fugl-Meyer运动功能、Berg平衡量表评分差异无统计学意义（P＞0.05），治疗后2组上述功能评分均较治疗前增高（P＜0.05），且观察组高于对照组（P＜0.05）。2组治疗前Barthel指数和MMSE评分差异无统计学意义（P＞0.05），治疗后2组评分均较治疗前增高（P＜0.05），且观察组高于对照组（P＜0.05）。2组治疗前SAS和SDS评分差异无统计学意义（P＞0.05），治疗后2组评分较治疗前降低（P＜0.05），且观察组低于对照组（P＜0.05）。 结论基于虚拟现实技术的功能锻炼可以显著改善脑出血后的老年患者神经功能康复情况，提高患者生存质量。

Effect of virtual reality technology-based functional exercise on neurological rehabilitation in patients with postoperative cerebral hemorrhage

ObjectiveTo explore the effect of virtual reality technology-based functional exercise on neurological rehabilitation in elderly patients with cerebral hemorrhage. MethodsFrom January 2017 to June 2018, 110 patients with cerebral hemorrhage were prospectively collected and randomly divided into an observation group and a control group, with 55 cases in each group. The observation group underwent functional exercises based on virtual reality technology, while the control group underwent routine functional exercises. The treatment lasted 6 months in both groups. Fugl-Meyer motor function score and Berg balance scale were used to evaluate the motor and balance functions of the patients. Barthel index and mini-mental state examination (MMSE) scale were used to evaluate the life ability and cognitive function of patients. Self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to evaluate the mental health of patients. ResultsThere was no significant difference in Fugl-Meyer motor function or Berg balance scale scores between the two groups before treatment (P＞0.05); after treatment, the scores in both groups were higher than those before treatment (P＜0.05), and they were higher in the observation group than in the control group (P＜0.05). There was no significant difference in Barthel index or MMSE score between the two groups before treatment (P＞0.05); after treatment, the scores of the two groups were higher than those before treatment (P＜0.05), and they were higher in the observation group than in the control group (P＜0.05). There was no significant difference in SAS or SDS scores between the two groups before treatment (P＞0.05); the scores of the two groups after treatment were lower than those before treatment (P＜0.05), and they were lower in the observation group than in the control group (P＜0.05). ConclusionFunctional exercise based on virtual reality technology can significantly improve the neurological rehabilitation and quality of life in elderly patients with cerebral hemorrhage.