上肢康复机器人联合高压氧对脑卒中偏瘫患者上肢功能的影响  

Effects of upper limb rehabilitation robot combined with hyperbaric oxygen in the recovery of upper limb function in stroke patients with hemiplegia

作　　者：孟庆芳[1] 何勤[1] 刘依凌[1] 张东玲[1] 

机构地区：[1]济南军区青岛第二疗养院门诊部,山东省青岛266071

出　　处：《中华航海医学与高气压医学杂志》2015年第2期137-139,143,共4页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的 探讨上肢康复机器人联合高压氧（hyperbaric oxygen,HBO）对脑卒中偏瘫患者上肢功能的疗效.方法 将150例脑卒中偏瘫患者依患者意愿分为HBO组、机器人组及综合治疗组,3组患者均接受基础药物和常规康复治疗;HBO组在此基础上辅以HBO治疗,机器人组辅以上肢康复机器人训练,综合治疗组则辅以HBO治疗及上肢康复机器人训练.治疗时间1个月,治疗前后分别进行简易上肢功能检测（STEF）、Fugl-Meyer上肢运动功能评分（FMA）、改良Barthel指数（MBI）评分,由专人进行双盲评定.结果 治疗前3组患者的STEF、上肢FMA及MBI评分组间差异无统计学意义（P＞0.05）;经1个月治疗后,各组上述指标均较治疗前明显改善（P＜0.05）,并以综合治疗组的改善幅度尤为显著（STEF：治疗后68.4±6.9,治疗前15.8±16.2;FMA：治疗后56.4±6.9,治疗前20.6±4.2;MBI：治疗后76.7 ±22.7,治疗前22.7 ±6.5）,机器人组次之,HBO组相对较差,各指标组间差异均具有统计学意义（P＜0.05）.结论 上肢康复机器人联合HBO治疗能进一步改善脑卒中偏瘫患者上肢功能,提高生活质量,该疗法值得临床推广、应用.Objective To investigate the therapeutic effects of upper limb rehabilitation robot combined with hyperbaric oxygen（HBO） in the rehabilitation of upper limb in stroke patients with hemiplegia.Methods One hundred and fifty cases of stroke patients with hemiplegia were randomly divided into 3 groups,the hyperbaric oxygen （HBO）group,the robot group and the comprehensive treatment group.The patients in the 3 groups all received basic drug and conventional rehabilitation treatment.The patients in the HBO group were treated with HBO;the patients in the robot group were additionally supplemented by upper limb rehabilitation robot training;and the patients in the comprehensive treatment group were supplemented by HBO as well as upper limb rehabilitation robot training.The treatment lasted for one month.Simple upper limb function test （STEF）,Fugl-Meyer upper limb movement function scores （FMA） and modified Barthel index scores （MBI） were respectively performed both before and after treatment,and double-blind evaluation was made for the purpose of objectivity.Results There were no significant differences in the detected scores of STEF,FMA and MBI before treatment,when comparisons were made between the 3 groups（P ＞ 0.05）.After one month of treatment,the scores of the above indicators in all the groups were significantly improved,as compared with those before treatment （P ＜ 0.05）,with the scores of the comprehensive treatment group improved most signficantly.STEF scores for the comprehensive treatment group were 68.4 ± 6.9 after treatment,as compared with that （15.8 ± 16.2） before treatment.FMA scores after treatment were （56.4 ± 6.9）,as compared with that （20.6 ± 4.2） before treatment.MBI scores after treatment were （76.7 ± 22.7）,as compared with that （22.7 ± 6.5） before treatment.As seen from the above,the comprehensive treatment group achieved the most satisfactory result,then came the robot group and the last was the HBO group.Statistical significance could be not

关 键 词：偏瘫 上肢康复机器人 高压氧 上肢功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] TP242[医药卫生—临床医学]