脑卒中患者肢体痉挛的发生率及其与功能的关系  

Incidence of Spasticity and Its Relationship with Functional Ability in Stroke Patients

作　　者：陆敏[1] 彭军[1] 尤春景[1] 黄晓琳[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院康复医学科,湖北武汉430030

出　　处：《中国康复》2005年第5期281-282,共2页Chinese Journal of Rehabilitation

摘　　要：目的:探讨脑卒中患者肢体痉挛的发生率及其与功能的关系。方法:评定50例急性脑卒中患者的肌张力,在病程6个月时采用改良Ashworth量表(MAS)、Fugl-meyer运动功能(FMA)及Barthel指数(BI)分别评定患者肌张力、运动功能和日常生活活动能力。结果:在病程满6个月时患者中大多数存在肢体肌张力增高,MAS分级与FMA和BI得分间呈显著负相关(P<0.001)。结论:脑卒中偏瘫患者痉挛发生率较高,而且痉挛程度与运动功能和日常生活活动能力显著相关,康复治疗应关注痉挛问题。Objective： To explore the incidence of spasticity in stroke patients and its relationship with functional ability. Methods： Muscle tone of 50 acute stroke patients were measured by using the modified Ashworth Scale, muscle tone and functional ability by using the Fugl-meyer assessment and the Barthel index was tested at 6th month after the onset of stroke. Results： The increased muscle tone （spasticity） was present in majority of the pa- tients at 6th month after the onset of stroke. There was a significant negative correlation between the level of MAS and the Fugl-Meyer test scores, and the BI scores （P〈0. 001）. Conclusion： The incidence of spasticity in stroke patients is high. The degree of spasticity is significantly associated with impaired motor function and ADL. The problem of spasticity must be regarded in rehabilitation therapy.

关 键 词：脑卒中 肢体痉挛 Ashworth量表 Fugl-meyer运动功能 BARTHEL指数 

分 类 号：R743.3[医药卫生—神经病学与精神病学]