强化康复训练对脑卒中后偏瘫痉挛状态的影响  

The influence of intensive rehabilitation training on spastic hemiplegia after stroke

作　　者：迟相林[1] 王道珍[1] 郭兆荣[1] 李振光[1] 蔄红好[1] 吴喜娟[1] 周丽[1] 董春玉[1] 

机构地区：[1]潍坊医学院附属威海市文登中心医院,山东威海264400

出　　处：《中国康复医学杂志》2007年第12期1087-1089,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:研究强化康复训练对脑卒中后偏瘫痉挛状态的治疗效果。方法:将44例脑卒中后肢体痉挛患者随机分为两组。一组为常规康复训练组,一组为强化康复训练组,两组患者均给予常规剂量巴氯芬口服。采用Ashworth分级法(ASS)、Fugl-Meyer评定法(FMA)和改良Barthel指数评分法(MBI)对2组患者治疗前、后肌张力,肢体运动功能及生活自理能力进行评定。结果:治疗后2组患者肌张力较治疗前均有明显降低(P<0.01),肢体运动功能和ADL能力较治疗前有明显提高(P<0.01),强化康复训练组疗效明显优于常规康复训练组(P<0.05)。结论:强化康复训练对脑卒中所致偏瘫肌痉挛有更加显著的改善作用。Objective： To study the therapeutic effects of intensive rehabilitation training in the treatment of spastic hemiplegia after stroke. Method： Forty four cases of limb spasticity in stroke patients were randomly divided into two groups. A conventional rehabilitation training group,an intensive rehabilitation training group. Both two groups of patients were given Baclofen orally. Ashworth Spasticity Scale （ASS）,Fugl-Meyer assessment （FMA）and Modified Barthel Index（MBI） scores were used to assess the muscle tone,the limb motor function and the ability of living on themself in both groups of patients before and after treatment. Result： The muscle tone was significant decreased in patients after treatment （P〈0.01）. The limb motor function and the ability of living on their own improve significantly than before treatment （P〈0.01）, Intensive rehabilitation training group was significantly better than conventional rehabilitation training group （P〈0.05）. Conclusion： Intensive rehabilitation training has more notable improvement on spastic hemiplegia after stroke. It＇s worthy of clinic application.

关 键 词：强化康复训练 脑卒中 肌痉挛 

分 类 号：R49[医药卫生—康复医学]