防治脑卒中后误用综合征的研究  被引量：9

THE PREVENTION AND TREATMENT OF MISUSE SYNDROME AFTER STROKE</em> <p class='article-op'> <span id="bdshare" class="bdshare_t bds_tools get-codes-bdshare baidufx"><span><span class="bds_more" style="display: block; width: 62px; height: 29px; background: url(/images/share.gif) no-repeat!important; padding: 0;"></span></span></span> </p> <p class="article-source"> <a href ='/article/read.aspx?id=22930317' class='btnTitle btnIsView' target='_blank'><img alt='在线阅读' src='/images/btn-read.png'/></a><a class='btnTitle btnIsView' href="javascript:showdown('2vVetOsYykPH+QeX6bQb9VaIjZ4XhX9B8riowysFKWw=')"><img alt="下载全文" src="/images/btn-down.png" /></a> <input id="hiddowninfo" type="hidden" value="2vVetOsYykPH+QeX6bQb9VaIjZ4XhX9B8riowysFKWw="/> </p> <div class="collect" style="display: none"> <h5>我的收藏</h5> <div class="cnt"> <p> 名 称：<input type="text" name="collTitle" id="collSumTitle" /> </p> <p> 注 释：<input type="text" name="collRemark" id="collSumRemark" /> </p> <p style="text-align: center;"> <a href="javascript:void(0)" onclick="g_collectSumOk();"> <img width="65" height="17" src="/images_new/collect_ok.png" alt="完成" /></a> <a href="javascript:void(0)" onclick="g_collectSumCancel();"> <img width="65" height="17" src="/images_new/collect_no.png" alt="取消" /></a> </p> </div> </div> </div> <form name="wxTransfer" method="post"> <input type="hidden" name="lid" value="" /> <input type="hidden" name="sip" value="" /> <input type="hidden" name="date" value="" /> <input type="hidden" name="co" value="" /> <input type="hidden" name="Title_C" value="" /> <input type="hidden" name="Writers" value="" /> <input type="hidden" name="Name_C" value="" /> <input type="hidden" name="Num" value="" /> <input type="hidden" name="Years" value="" /> <input type="hidden" name="Volumn" value="" /> <input type="hidden" name="GCH" value="" /> <input type="hidden" name="Vol" value="" /> <input type="hidden" name="BookID" value="" /> <input type="hidden" name="SubjectNum" value="" /> <input type="hidden" name="SpecialNum" value="" /> <input type="hidden" name="mirrorName" value="" /> <input type="hidden" name="UserID" value="" /> <input type="hidden" name="UserName" value="" /> <input type="hidden" name="sourceID" value="" /> </form> <script type="text/javascript" src="/scripts/transfer.min.js"></script> <div class="article-detail"> <p class='author'><strong>作　　者：</strong><a href='/writer/article.aspx?id=100000002499651' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e9%83%91%e6%b4%81%e7%9a%8e%5d' title='郑洁皎[1]'>郑洁皎[1]</a> <a href='/writer/article.aspx?id=100000013526146' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e8%b5%b5%e5%b0%9a%e6%95%8f%5d' title='赵尚敏[1]'>赵尚敏[1]</a> <a href='/writer/article.aspx?id=100000000134106' target='_blank' ><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=A%3d%5b%e5%90%b4%e6%a2%85%e8%8a%ac%5d' title='吴梅芬[2]'>吴梅芬[2]</a> <em> </em></p><p class='organ'><strong>机构地区：</strong><a href='/organ/article.aspx?id=517&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e5%8d%8e%e4%b8%9c%e5%8c%bb%e9%99%a2' title='[1]华东医院,上海市200040'>[1]华东医院,上海市200040</a> <a href='/organ/article.aspx?id=81634&subid=&showname=&searchtype=' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=S%3d%e4%b8%8a%e6%b5%b7%e5%b8%82%e9%97%b8%e5%8c%97%e5%8c%ba%e4%b8%ad%e5%bf%83%e5%8c%bb%e9%99%a2' title='[2]上海市闸北区中心医院'>[2]上海市闸北区中心医院</a> <em> </em></p><p class='from'><strong>出　　处：</strong><a href='/journal/summary.aspx?gch=81670X' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=J%3d%5b%e8%80%81%e5%b9%b4%e5%8c%bb%e5%ad%a6%e4%b8%8e%e4%bf%9d%e5%81%a5%5d' title='老年医学与保健'>《老年医学与保健》</a>2006年第3期167-168,共2页<em>Geriatrics & Health Care</em></p><p class='fund'><strong>基　　金：</strong>上海市科委资助项目(06JC14027)</p><p class='abstrack'><strong>摘　　要：</strong>目的目前脑卒中后很多病人仍遗留各种上肢屈曲痉挛,下肢划圈步态等病理运动模式,严重影响到患者的运动和生活质量。因此需要探索有效的康复适宜技术,提高康复疗效,切实地防治脑卒中后误用发生,进而有效控制药费增长。方法病人随机分成2组:良姿位分级训练组;对照组,采用一般对症治疗方法。两组病例均采用神经功能缺损表评分,Fugl-Meyer运动功能评价,动态表面肌电图解析,进行初评和终评对照随访,数据进行对照研究。结果两组病例的评分差异有统计学意义。结论良姿位分级规范训练,结合计算机程序辅助多媒体视听方法和视听生物反馈,其实用性强,能有效防治误用综合征,促进病人运动功能恢复。<em>Objective To investigate effective method to prevent and treat the misuse syndrome which compromises the movement and living quality after stroke. Methods Patients were divided randomly into two groups： training group which was given by fine-postured and graded training,control group which accepted conventional treatments. Treatment effects were established by pre-and post-therapy assessment of using neurofunction defect scale. Fugl-Myer scale, surface EMG. Results Compared with the control group,the scores of both neurnfunction defect and Fugl-Myer in training group differed significantly. Conclusions The fine-postured graded training combined with computerized seeing and hearing multimedia bio-feedback is the effective method to prevent and treat the misuse syndrome as well as to progress the recovery of motion function.</em></p><p class='subject'><strong>关 键 词：</strong><a href='/subject/article.aspx?id=2574026' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e4%bd%93%e4%bd%8d%5d' title='体位'>体位</a> <a href='/subject/article.aspx?id=1931213' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%ba%ab%e4%bd%93%e9%94%bb%e7%82%bc%5d' title='身体锻炼'>身体锻炼</a> <a href='/subject/article.aspx?id=4840839' target='_blank'><b class='type_ico_id'></b></a><a href='/zk/search.aspx?key=K%3d%5b%e8%84%91%e8%a1%80%e7%ae%a1%e6%84%8f%e5%a4%96%5d' title='脑血管意外'>脑血管意外</a> <a href='/zk/search.aspx?key=K%3d%5b%e6%b2%bb%e7%96%97%e5%a4%b1%e8%af%af%5d' title='治疗失误'>治疗失误</a> </p><p class='class'><strong>分 类 号：</strong><a href='/zk/search.aspx?key=C%3dR743.3' title='R743.3'>R743.3</a>[<a href = '/domain/article.aspx?id=504' >医药卫生—神经病学与精神病学</a>] </p> </div> <div id="content_wzxg" name="wzxg" class="article-graph"> <object width="695" height="250" classid="clsid:D27CDB6E-AE6D-11cf-96B8-444553540000" id="FlashID"> <param value="../flash/relation.swf" name="movie"> <param value="high" name="quality"> <param value="opaque" name="wmode"> <param value="6.0.65.0" name="swfversion"> <param value="dataUrl=/ajax/articlerelativegraph.ashx?id=22930317" name="flashVars"> <embed width="695" height="250" src="../flash/relation.swf" type="application/x-shockwave-flash" quality="high" wmode="opaque" flashvars="dataUrl=/ajax/articlerelativegraph.ashx?id=22930317"> </embed> </object> </div> <div class="article-relate-list"> <div class="relate-list"> <p id="ckwx_br"> </p> <h2 name="ckwx" id="ckwx">参考文献：</h2> <div id="listckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jckwx_br"> </p> <h2 name="2jckwx" id="2jckwx">二级参考文献：</h2> <div id="list2jckwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="ohwx_br"> </p> <h2 name="ohwx" id="ohwx">耦合文献：</h2> <div id="listohwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="yzwx_br"> </p> <h2 name="yzwx" id="yzwx">引证文献：</h2> <div id="listyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="2jyzwx_br"> </p> <h2 name="2jyzwx" id="2jyzwx">二级引证文献：</h2> <div id="list2jyzwx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="tbywx_br"> </p> <h2 name="tbywx" id="tbywx">同被引文献：</h2> <div id="listtbywx"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> <div class="relate-list"> <p id="xgqklw_br"> </p> <h2 name="xgqklw" id="xgqklw">相关期刊文献：</h2> <div id="listxgqklw"> <p class='submit'> <img src='/images/loading.gif' width='16' height='16' /> 正在载入数据... </p> </div> </div> </div> </div> <div class="article-about"> <div class="about-box"> <h5 class="name">相关的主题<tt><a class="hide" href="#"></a></tt></h5> <div class="about-list"> </div> </div> <div class="about-box"> <h5 class="name">相关的作者对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> <div class="about-box"> <h5 class="name">相关的机构对象<tt><a class="" href="#"></a></tt></h5> <div class="about-list" style="display: none;"> </div> </div> </div> </div> </div> <script type="text/javascript" src="/scripts/articlerelation.min.js"></script> <script type="text/javascript" src="/scripts/articlerightrelation.min.js"></script> <script type="text/javascript" src="/scripts/articledown.min.js"></script> <div class="layer-box download" id="downloadlayer" style="display: none"> <div class="close"> <a onclick="closedown()" href="javascript:void(0)"> <img src="/images/layer-close.png" width="21" height="21" alt="" /> </a> </div> <h5 class="layer-title">下载全文</h5> <div id="downloadinfo"></div> </div> <div class="layer-box download" id="downloadlayer2" style="display:none;min-height:100px;width:500px;"> <p> <img src="/images/loading2.gif" width="64" height="64"> <span style="font-size:20px;vertical-align:middle;padding-bottom:50px;">正在链接到云南高校图书馆文献保障联盟下载...</span> </p> </div> <script id="bdshare_js" data="type=tools&uid=0" type="text/javascript"></script> <script type="text/javascript"> $(function () { var rd = GetQueryString("rd"); 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