规范三级康复治疗对缺血性脑卒中患者运动功能的影响  

Effects of standardized three stage rehabilitation treatment on motor function in ischemic stroke patients

作　　者：胡永善[1] 白玉龙[1] 陈文华[2] 王小兵[3] 程安龙[4] 姜从玉[1] 吴毅[1] 

机构地区：[1]复旦大学附属华山医院康复医学科,复旦大学上海医学院康复与运动医学系,200040 [2]上海市第一人民医院康复医学科 [3]上海市同济医院康复医学科 [4]上海市第六人民医院康复医学科

出　　处：《中国康复医学杂志》2007年第7期605-608,共4页Chinese Journal of Rehabilitation Medicine

基　　金：国家科委"十五"攻关课题资助项目(2001BA703B21)

摘　　要：目的:探讨规范三级康复治疗对缺血性脑卒中患者运动功能的影响。方法:164例缺血性脑卒中患者随机分为康复组和对照组,分别在入组时、发病后第1、3和6个月评价患者简化Fugl-Meyer量表(FMA)评分,并进行统计学分析。结果:康复组在入组时FMA总分、上肢FMA和下肢FMA评分与对照组差异无显著性。对照组在入组时、发病后第1、3和6个月时FMA总分逐渐增加,但只有第1个月与入组时比较以及第3个月与第1个月时比较差异有显著性。康复组FMA总分比对照组显著增加,而且在各次评定之间比较差异均有显著性。对照组上肢FMA评分逐步增高,但只有在第3个月时差异有显著性;康复组上肢FMA评分增加幅度在第3个月和6个月时显著高于对照组,且各次评定之间比较差异均有显著性。对照组下肢FMA评分逐步增高,但只有在第3个月时差异有显著性;康复组下肢FMA评分增加幅度显著高于对照组,且各次评定之间比较差异均有显著性。结论:规范的三级康复治疗对提高缺血性脑卒中患者运动功能具有重要作用。Objective： To explore the effects of standardized three stage rehabilitation treatment on the motor function in ischemic stroke patients. Method： A total of 164 ischemic stroke patients were randomly recruited into rehabilitative and control groups. The Simplified Fugl-Meyer Assessment （FMA） were evaluated and analyzed at the recruitment, the end of the 1st, 3rd and 6th month separately after stroke. Result： No significant differences were found in the total FMA, upper limb FMA and lower limb FMA between rehabilitative and control groups. The total FMA of control group increased gradually at the recruitment, the end of the 1st, 3rd and 6th month, but significant differences were found only at the end of the 1st month and 3rd month comparing with previous assessments. The total FMA increments in rehabilitative group were than that in control group at the end of the 1st , 3rd and 6th month, and significant differences were found between neighboring evaluations in rehabilitative group. The upper limb FMA of control group gradually increased, but the significant differences were found only at the end of the 3rd month comparing with the 1st month assessment. The increments of upper limb IrMA of rehabilitative group at the 3rd and 6th month were larger than that of control group, and there were significant differences between neighboring evaluations. The lower limb FMA of control group gradually increased, but significant differences were found only at the end of the 3rd month. The increments of lower limb FMA of rehabilitative group were larger than that of control group, and there were significant differences between neighboring evaluations in rehabilitative group. Conclusion： Standardized three stage rehabilitation treatment could increased motor function in ischemic stroke patients.

关 键 词：缺血性脑卒中 运动功能 康复治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学]