康复卒中单元对脑卒中肩手综合征的疗效观察  

Effects of Rehabilitation Stroke Unit on Shoulder-hand Syndrome Post Stroke

作　　者：代新年[1] 单守勤[1] 陈庆华[1] 蔡鸣[1] 梁涛[1] 王丹[1] 闫玮娟[1] 

机构地区：[1]济南军区青岛第二疗养院全军神经疾病诊疗康复中心,山东青岛市266071

出　　处：《中国康复理论与实践》2012年第11期1013-1015,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：全军"十二五"重点课题:现代战创伤中枢神经损伤康复体系的构建与研究(BWS11J003)

摘　　要：目的探讨康复卒中单元对脑卒中肩手综合征的疗效。方法 90例脑卒中后并发肩手综合征的患者分为康复单元组(n=45)和对照组(n=45)。康复单元组纳入康复单元,按照康复方案进行治疗,对照组进行运动训练。治疗6周后采用Brunnstrom分期上肢及手功能评定、简化Fugl-Meyer量表(FMA)及改良Barthel指数(MBI)评定疗效。结果治疗后两组在上肢及手功能的Brunnstrom分期、FMA评分及MBI评分上较治疗前均有改善(P<0.05),且康复单元组优于对照组(P<0.05)。结论康复卒中单元对脑卒中偏瘫患者上肢功能恢复有更好的疗效。Objective To investigate the effects of rehabilitation stroke unit on patients with shoulder-hand syndrome after stroke. Methods 90 stroke patients with shoulder-h＇and syndrome were divided into two groups： control group （45 cases） was treated with conventional treatment and experimental group （45 cases） was incorporated into the rehabilitation stroke unit. The therapeutic course was 6 weeks. Brunnstrom stage, Fugl-Meyer assessment （FMA） and modified Barthel index （MBI） were used to assess the degree of the motor function of upper limb and hand, and activities of daily living （ADL）, and the total clinical efficacy were evaluated. Results The motor function of upper limb and hand and ADL improved in both groups after treatment （P〈0.05）, while the experimental group was significantly superior to the control group （P〈0.05）. Conclusion Rehabilitation stroke unit has preferable effect on shoulder-hand syndrome after stroke.

关 键 词：肩手综合征 康复卒中单元 脑卒中 康复训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]