脑卒中致共济失调患者的综合康复治疗  

Comprehensive Rehabilitation Treatment of Post-apoplexy Ataxia

作　　者：郭鹏[1] 邓红琼[1] 刘丽美 

机构地区：[1]济南市第三人民医院神经内科,济南250101 [2]齐鲁制药有限公司药物研究院协管部,济南250011

出　　处：《中国康复》2010年第5期343-345,共3页Chinese Journal of Rehabilitation

摘　　要：目的:探索脑卒中后共济失调患者针对性综合康复训练的制定、实施及临床疗效。方法:脑卒中共济失调患者122例,分为A组60例和B组62例,均按脑卒中药物治疗原则给予处理。A组同时根据卒中后共济失调特点制定综合康复训练计划,包括Frenkel训练法、简易稳定协调性训练、负荷训练、言语和ADL训练等。结果:在训练15 d时,采用神经病联合会国际合作共济失调量表及改良Barthel指数(BI)评分,A组与干预前比较明显下降,BI评分明显上升;B组2项指标均无变化。训练30 d后及90 d随访时,2组共济失调量表分均低于治疗前,BI评分均上升,A组表现更突出(P<0.05,0.01)。结论:脑卒中后共济失调综合康复治疗应根据卒中部位特点及其功能联系纤维特别设计,使康复训练更具针对性,且治疗效果显著。Objective： To explore the compressive rehabilitation treatment of post-apoplexy ataxia and the therapeutic effectiveness.Methods： 122 cases of post-apoplexy ataxia were divided into group A（60 cases） and group B（62 cases）.The patients in group A received 90-day comprehensive rehabilitation training for ataxia after cerebral apoplexy.International Cooperative Ataxia Rating Scale（ICARS） of World Federation of Neurology（WFN） was used for ataxia-assessment.Results：The ataxia assessment of the patients in both two groups showed no difference on the day 15 after treatment.There was significant difference in the score between two groups on the day 30 and 90.There was significant difference in ADL measured by the Modified Barthel Index（MBI） between the two groups.Conclusion： The comprehensive post-apoplexy ataxia rehabilitation training method is specially designed based on the features and function of apoplexy parts and purposefully targets the apoplexy parts.The curative effectiveness is more satisfactory.

关 键 词：脑卒中 共济失调 康复 

分 类 号：R49[医药卫生—康复医学]