三级康复训练对脑出血后上肢运动功能改善的效果  

Improving effect of tertiary rehabilitation training on upper limb motor function after cerebral hemorrhage

作　　者：李海萍 杨翊[2] 

机构地区：[1]武当山旅游经济特区医院康复科,湖北十堰442714 [2]十堰市人民医院伤病疼痛科

出　　处：《心血管康复医学杂志》2017年第2期146-149,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金：十堰市科学技术研究与开发项目(14Y39)~~

摘　　要：目的:研究三级康复训练对脑出血患者上肢运动功能恢复的效果。方法:选择2013年5月至2015年5月本院收治的120例脑出血患者作为研究对象,根据随机数字表法将其随机均分为常规康复组和三级康复组,两组患者均接受相同的常规内科治疗和护理。采用简易上肢功能检查量表(STEF)、简氏Fugl-Meyer上下肢运动功能评价量表(FMA)以及Brunnstrom肢体运动功能分级评价比较两组患者的康复训练后肢体恢复情况。结果:康复训练后1月末,两组的STEF、FMA评分均无显著差异(P均>0.05)。康复训练2月末及以后,与常规康复组比较,三级康复组STEF评分[2月末:(3.3±0.5)分比(4.2±1.1)分,6月末:(6.3±1.2)分比(8.5±1.1)分]及总分[(20.2±4.2)分比(38.2±3.5)分],FMA评分[2月末:(28.4±3.6)分比(33.4±2.7)分,6月末:(38.2±6.6)分比(46.3±5.8)分]均显著升高,P均<0.05。半年康复训练后,与常规康复组比较,三级康复组的Brunnstrom V级(23.33%比43.33%)和VI级(6.67%比20.00%)比例均显著升高(P均<0.05)。结论:三级康复训练能明显改善脑出血患者上肢运动功能,值得推广。Objective： To study effects of tertiary rehabilitation training on upper limb motor function recovery in patients with cerebral hemorrhage. Methods： A total of 120 patients with cerebral hemorrhage, who were treated in our hospital from May 2013 to May 2015, were selected. According to random number table, they were randomly and equally divided into routine rehabilitation group and tertiary rehabilitation group, and both groups received the same routine medical treatment and nursing. Simple test for evaluating hand function scale （STEF）, Fugal-Meyer motor assessment （FMA） and Brunnstrom limb motor function assessment were used to assess and compare limb recovery after rehabilitation training between two groups. Results： At the end of first month of rehabilitation training, there were no significant difference in STEF and FMA scores between two groups, P〈0. 05 both. On the end of second month of rehabilitation training and later, compared with routine rehabilitation group, there were significant rise in STEF score [end of second month： （3.3 ± 0.5） scores vs. （4.2 ± 1.1） scores, end of sixth month： （6. 3 ± 1.2） scores vs. （8. 5 ± 1.1） scores], total STEF score [ （20.2 ± 4. 2） scores vs. （38. 2 ± 3.5） scores] and FMA score [end of second month： （28. 4 ± 3.6） scores vs. （33.4 ± 2.7） scores, end of sixth month： （38. 2 ± 6.6） scores vs. （46. 3 ± 5. 8） scores] in tertiary rehabilitation group, P〈0. 05 all. Compared with routine rehabilitation group after six-month rehabilitation training, there were significant rise in percentages of Brunnstrom stage V （23.33% vs. 43.33%） and stage VI （6. 67% vs. 20. 00%） in tertiary rehabilitation group （P〈0.05 both）. Conclusion： Tertiary rehabilitation training can significantly improve upper limb motor function in patients with cerebral hemorrhage, so it＇s worth extending.

关 键 词：脑出血 康复 上肢 

分 类 号：R473.5[医药卫生—护理学]