3个月康复治疗对急性脑卒中患者运动功能的影响  

Effects of three-month rehabilitation on motor function in hemiplegics after stroke

作　　者：朱玉连[1] 胡永善[1] 杨佩君[2] 谢光柏[3] 吴慧敏[4] 

机构地区：[1]复旦大学附属华山医院康复医学科,上海市200040 [2]上海第二医科大学附属瑞金医院康复医学科 [3]上海第二军医大学附属长征医院康复医学科 [4]上海第二医科大学附属仁济医院康复医学科

出　　处：《中国康复理论与实践》2001年第4期155-156,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市卫生局重点课题 98ZD0 0 3

摘　　要：目的探讨 3个月康复治疗对脑卒中偏瘫患者运动功能的影响。方法 12 5例脑卒中偏瘫患者随机分为综合康复治疗组 (治疗组 )和常规药物治疗组 (对照组 ) ,进行 3个月的康复治疗。治疗前后各进行一次Fugl Mayer评价 (FMA)。 结果治疗前两组间FMA评价无显著性差异 (P >0 .0 5 ) ,治疗后两组的FMA评价均较治疗前有非常高度显著性差异 (P <0 .0 0 1) ,但治疗组的运动功能恢复显著优于对照组 (P <0 .0 0 1)。结论 3个月的康复治疗对患者的运动功能具良好的促进作用 ,可显著降低患者的依赖程度 ,提高生存质量。ObjectiveIn order to study the effect of three-month rehabilitation on motor function in hemiplegics after stroke. Methods125 patients were randomly divided into two groups, rehabilitation group (72 cases)and control group(53 cases).Patients in the rehabilitation group were given clinical treatment,electric stimulation therapy(EST) and regularly physical therapy, while those in control group were given clinical treatment and unguided self-training, and the evaluation was done in pre-treatment and post-three-month respectively. Motor function was assessed in Fugl-Meyer Assessment(FMA).ResultsMotor scores in each group had a more significant difference ( P<0.001)before and after treatment, the process of scores in the rehabilitation group was obviously superior to that in the control group( P<0.001). Conclusions Rehabilitation training on hemiplegics after stroke may obviously improve motor function, depressing the disability and increasing the living quality.

关 键 词：脑卒中 运动功能 康复治疗 偏瘫 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]