康复治疗6个月对急性脑卒中患者运动功能的影响  

Effects of 6-month Rehabilitation on Motor Function in Hemiplegics Following Stroke

作　　者：胡永善[1] 朱玉连[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》2001年第3期147-148,共2页Chinese Journal of Rehabilitation

基　　金：上海市卫生局重点课题 ( 98ZD 0 0 3)

摘　　要：目的探讨康复治疗 6个月对脑卒中偏瘫患者运动功能的影响。方法采用以运动疗法、作业疗法及电疗等综合康复治疗方法对 15 9例脑卒中偏瘫患者进行临床随机对照性及前瞻性研究。结果 Fugl- Meyer运动功能 (FMA)评价 ,治疗组治疗前为 5 .44± 7.80 ,治疗后 15 .40± 4.74;对照组治疗前 6 .37± 5 .82 ,治疗后 11.6 4± 5 .6 1,2组治疗前后比较差异有显著性。治疗前 2组间比较差异无显著性 (P>0 .0 5 ) ,治疗 6个月后 2组间比较 ,治疗组运动功能恢复优于对照组 (P<0 .0 0 1)。结论综合康复治疗 6个月对患者的运动功能具有良好的作用 ,可明显降低患者的功能障碍 。Objective To study the effect of 6 month rehabilitation on motor function in hemiplegics after stroke. Methods 159 patients with stroke induced hemiplegia were randomly divided into two groups: rehabilitation group ( n =88) and control group ( n =71). The patients in the rehabilitation group received clinical treatment, electric stimulation therapy (EST) and regularly physical therapy, while those in the control group received clinical treatment and unguided self training. The motor function was assessed in Fugl Meyer Assessment (FMA). Results Before and after treatment, the FMA scores in the rehabilitation group were 5 44±7 80 and 15 40±4 74 respectively ( P <0 01), and 6 37±5 82 and 11 64±5 61 respectively ( P <0 01) in the control group. There was no significant difference in FMA scores before treatment between the two groups ( P >0 05). However, after treatment for 6 months, the recovery of motor ability in the rehabilitation group was more satisfactory than in the control group ( P <0 001). Conclusion Six month comprehensive rehabilitation training on hemiplegics after stroke may obviously improve motor function, decrease the disability and increase the quality of living.

关 键 词：早期康复 运动功能 脑中风 

分 类 号：R743[医药卫生—神经病学与精神病学]