美多巴结合运动想象疗法对脑梗死下肢功能障碍恢复的研究  

Effect of madopar associated with mental imagery on the recovery of the patients with lower limb dysfunction following cerebral infarction

作　　者：王鸣鸿 鲍晓[1] 刘惠宇[1] 罗春英[1] 谭杰文[2] 

机构地区：[1]粤北人民医院康复医学科,广东韶关510020 [2]中山大学孙逸仙纪念医院康复医学科、高压氧专科

出　　处：《海军医学杂志》2016年第6期540-543,共4页Journal of Navy Medicine

摘　　要：目的探讨美多巴结合运动想象疗法对脑梗死下肢功能障碍恢复的临床效果。方法根据脑梗死诊断标准,选择经过CT或MRI检查,均为第1次发病的脑梗死后下肢功能障碍的80例患者,按CT或MRI的病灶分型,随机配对分为美多巴+运动想象+常规康复组(A)、美多巴+常规康复组(B)、运动想象+常规康复组(C)、常规康复组(D)。在治疗前后分别给予评定Fugl-Meyer下肢功能评分、功能性步行量表(FAC)以及Berg平衡功能量表。结果所有患者在干预前临床基本资料对比差异无统计学意义(P>0.05)。4组患者Fugl-Meyer下肢功能评分、FAC、Berg平衡功能量表在干预前比较差异无统计学意义(P>0.05),干预后均得到改善(P<0.05),其中A组在干预后Fugl-Meyer下肢功能评分、FAC、Berg平衡功能量表与其余3组比较改善明显,差异有统计学意义(P<0.05),表现在患肢肌力、灵活性、步态正确性等明显改善。结论美多巴结合运动想象疗法可以显著改善脑梗死下肢功能障碍。Objective To study the clinical effect of madopar associated with mental imagery on the recovery of the pa-tients with lower limb dysfunction following cerebral infarction. Methods According to diagnostic standards of cerebral infarction and verified with CT and MRI, 80 patients with lower limb dysfunction and primary seizure were randomly divided into 4 groups the madopar ＋ mental imagery ＋ routine rehabilitation group or Group A, the madopar ＋ routine rehabilitation group or Group B, the mental imagery ＋ routine rehabilitation group or Group C , and routine rehabilitation group or Group D. Both before and af-ter treatment, Fugl-Meyer scores, FAC scores and Berg scores were evaluated respectively. Results Before intervention, no sta-tistical differences could be seen in the basic clinical data, when comparisons were made between the 4 groups（ P 〉 0. 05 ） . Statis-tical differences could neither be seen in the Fugl-Meyer, Berg and FAC scores in the 4 groups before intervention（ P 〉 0. 05 ）. However, improvement was shown after intervention（ P 〉 0. 05 ） . As compared with those of the other 3 groups, Fugl-Meyer, Berg and FAC scores of group A after intervention were significantly improved, and statistical significance could be noted, when comparison were made between them（P 〈0. 05 , P = 0. 0137） . It was chiefly manifested that Fugl-Meyer, Berg and FAC scores were significantly improved. Conclusion Madopar associated with mental imagery could obviously promote the functional disorder of the lower limbs following cerebral infarction.

关 键 词：美多巴 脑梗死 Fugl-MeyeqBerg平衡功能量表 功能性步行量表 

分 类 号：R743.33[医药卫生—神经病学与精神病学]