康复医疗对脑卒中偏瘫患者肢体运动功能恢复的作用  

Effects of rehabilitation treatment for functional recovery of hemiplegic extremities

作　　者：王茂斌[1] 黄力平[1] 贾子善[1] 汪立[1] 曲镭[1] 

机构地区：[1]河北省医院康复中心

出　　处：《中国康复医学杂志》1991年第4期145-149,共5页Chinese Journal of Rehabilitation Medicine

摘　　要：本文报告了68例经康复医疗的患者(R组)和23例接受神经科常规治疗的患者(N组)的肢体运动功能的恢复情况。患者的评测,如Brunnstrom分级、ADL Barthel指数等,分别在治疗前后由理学治疗师和作业治疗师进行。康复治疗主要应用促通技术。结果表明:早期开始康复医疗的R′组的恢复不但优于N组,而且也优于R组的其他患者(P<0.01);虽然R组每日平均住院费用较高,但平均住院日数少,整体住院费用与N组相近;训练家属陪员协助治疗师不仅可以弥补治疗师的不足,而且可以减少患者的心理障碍,极易为患者及其家属所接受。这些结果说明康复医疗对于偏瘫的治疗和降低致残率是有一定作用的。There were 68 casea of hemplegia after function recovery in the rehabilitation center (group R)and another 23 cases admite in the general neurological department were chosen as a controlled group(group N).The patients were evaluated individual by PT and OT,such as the Brunnstrom stage,ADL Barthel Index and so on before and after rehabilitation treatment of facilitation techniques.The results of the extremity motor function recovery showed that: group R'was better than it was group N,P≤0.01.Early rehabilitation(beginning treatment time≤1 month)was better than postponed.The cost of patient's hospitalization for group R was little more then group N,but it was acceptable.Family members Trainning to help the therapists was a compensation for the lack of rehabilitation therapists,reducing psychological problems and easily accepted by the patients.

关 键 词：中风 偏瘫 康复 肢体功能 

分 类 号：R743.309[医药卫生—神经病学与精神病学]