任务导向性训练在缺血性脑卒中偏瘫患者中的应用  

Application of task-oriented training for hemiplegic patients with ischemic stroke

作　　者：范丽婵[1] 梁鹏[1] 陈丽珊[1] 关志勇[1] 

机构地区：[1]广东省佛山市第一人民医院康复医学科,广东佛山528000

出　　处：《中西医结合护理（中英文）》2017年第6期142-144,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨任务导向性训练对缺血性脑卒中偏瘫患者的影响。方法 62例缺血性脑卒中偏瘫患者分为观察组和对照组,各31例。对照组给予常规康复护理,观察组在对照组基础上进行任务导向性训练。分别在治疗前、治疗4周后采用Berg平衡量表(BBS)和Fugl-Meyer量表(FMA)对2组患者平衡功能和下肢运动功能进行评定。结果治疗前2组患者平衡功能和下肢运动功能差异无统计学意义(P>0.05);治疗4周后,2组患者平衡功能和下肢运动功能较治疗前均有改善,观察组优于对照组(P<0.01)。结论任务导向性训练能有效改善偏瘫患者的平衡功能和下肢运动功能。Objective To investigate the effect of task-oriented training for hemiplegic patients with ischemic stroke. Methods Totally 62 hemiplegic patients after suffering ischemic stroke were assigned to the observation group（n=31） and the control group（n=31）. All patients received routine medicine treatment,rehabilitation therapy and rehabilitation nursing on position,diet and psychological care,etc. The observation group also received task-oriented training.All patients were assessed with balance function and lower limb motor function by Berg balance scale（BBS） and Fugl-Meyer assessment（FMA） scale before and 4 weeks after training. Results There was no significant differences in baseline data including balance function and lower limb motor function of each group before treatment（P〈0.05）. After 4 weeks＇ treatment,The score of BBS and FMA were increased in both two groups,and were higher in the observation group than those of controls（P〈0.01）. Conclusion Task-oriented training combined with routine rehabilitation treatment can effectively improve balance function and lower limb motor function of hemiplegia patients after ischemic stroke.

关 键 词：脑卒中 偏瘫 任务导向性训练 平衡功能 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]