功能训练结合利他林对脑卒中后偏瘫患者康复的影响  

Functional training followed by Ritalin in the treatment of stroke patients with hemiplegia

作　　者：吴志毅[1] 杨维萍[2] 孙静[2] 杨维青[3] 薛占苍[1] 张玉红[1] 杨丽军[1] 

机构地区：[1]石家庄市第一医院神经科,石家庄050011 [2]河北省老年病医院药剂科 [3]河北医科大学基础医学院

出　　处：《中华物理医学与康复杂志》2006年第5期333-335,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：河北省科学技术研究与发展计划项目(No.04276101D-35)

摘　　要：目的探讨功能训练结合利他林对脑卒中偏瘫患者的影响,并观察利他林对康复训练的疗效的促进作用。方法将160例伴有注意力障碍的脑卒中偏瘫患者随机分为观察组和对照组,每组各80例。观察组采用功能训练结合口服利他林的方法,对照组采用功能训练方法。在治疗前、后分别对两组患者进行注意力障碍和功能独立性评定。结果治疗后,观察组患者注意力障碍的改善明显优于对照组,差异有统计学意义(P<0．01);观察组患者治疗前、后功能独立性评定总分均数的差值明显高于对照组,差异有统计学意义(P<0．01)。结论利他林可改善脑卒中患者的注意力障碍;功能训练结合利他林改善注意力可提高脑卒中偏瘫患者的康复效果。Objective To study the rehabilitative efficacy of functional training followed by Ritalin for improving attention in the treatment of stroke patients with hemiplcgia. Methods One hundred and sixty stroke patients with hemiplegia and attention deficits were divided randomly into two groups. Eighty patients in the treatment group were treated by combining Ritalin with comprehensive functional exercise for two months. Eighty control patients were treated with comprehensive functional exercise for two months. The attention level and functional independence of all 160 patients were assessed pre- and pnst-therapy. Results The patients in the treatment group demonstrated higher amelioration in their attention levels and greater differences in the value of the Functional Independence Measure than those in the control group. Conclusion Ritalin can effectively improve the attention level of stroke patients. Comprehensive functional training plus Ritalin is effective in improving the efficacy of rehabilitation for hemiplegic patients.

关 键 词：脑卒中 偏瘫 注意力障碍 功能训练 利他林 

分 类 号：R743.3[医药卫生—神经病学与精神病学]