早期作业疗法对脑卒中患者的康复作用  

Rehabilitation Effectivness of Occupational Therapy for Patients with Stroke

作　　者：董英莉[1] 周凤英[1] 陈九斤[1] 周国琴[1] 江小琴[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院神经内科,湖北武汉430022

出　　处：《护理学杂志》2007年第9期57-58,共2页

基　　金：华中科技大学同济医学院附属协和医院科研项目(No.2004-37)

摘　　要：目的更快、更有效地促进脑卒中患者全面康复。方法将72例脑卒中患者随机分为2组,观察组36例在生命征稳定后采用运动疗法(PT)的同时实行系统的作业疗法(OT),对照组36例在生命体征稳定后进行PT2周后增加OT,疗程均为6周。于治疗前、治疗2、4、6周时进行神经功能缺失(FMA)评分和改良Barthel指数(MBI)评分。结果治疗后2、4、6周FMA、MBI评分两组与治疗前比较显著提高(均P<0.05),且观察组显著高于对照组(均P<0.05)。结论OT的早期应用可促进脑卒中患者全面康复,与PT同时进行可显著提高疗效。Objective To promote overall rehabilitation of the patients with stroke more quickly and effectively. Methods Seventy-two patients with stroke were randomly divided into 2 groups. Thirty-six patients in the observation group re-ceived physiotherapy and occupational therapy after vital signs stabilized,and the ramaining 36 patients received physio-therapy in the first 2 weeks and then occupational therapy. The rehabilitation therapy of both groups lasted for 6 weeks and the scores for Fugl Meyer Assessment （FMA） and Modified Barthel Index （MBI） were examined before and 2,l and 6 weeks after rehabilitation respectively. Results The FAM score and MBI score were increased 6 weeks after reha-bilitation therapy in both groups （P〈0. 05 for all）. The FAM score and MBI score in the observation group were sig nificatly higher than in the control group （P〈0.05 for all）. Conclusion Occupational therapy can promote the rehabili-tation of the patients with stroke. The combined use of occupational therapy and physical therapy can significantly im-prove curative effects.

关 键 词：脑卒中 作业疗法 运动疗法 康复 

分 类 号：R473.3[医药卫生—护理学]