镜像疗法联合常规康复训练对脑卒中后偏瘫患者肢体运动功能及平衡的效果观察  

Effect Observattion of Mirror Therapy Combined with Routine Rehabilitation Training on Limb Motor Function and Balance of Patients with Post-stroke Hemiplegia

作　　者：王海燕[1] 赵志军[2] 蒋苹[1] 杨红霞[3] 

机构地区：[1]秦皇岛市第一医院康复科,河北秦皇岛066000 [2]秦皇岛市中医医院放射科,河北秦皇岛066000 [3]解放军白求恩国际和平医院干部病房,石家庄050082

出　　处：《解放军医药杂志》2017年第11期34-37,共4页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：秦皇岛市科学技术局课题(201401A282)

摘　　要：目的探讨镜像疗法联合常规康复训练对脑卒中后偏瘫患者肢体运动功能及平衡的影响。方法选取秦皇岛市第一医院2013年5月—2015年2月住院收治的脑卒中后偏瘫患者108例,按照康复方法不同分为对照组和研究组,每组54例。对照组采用常规康复训练,研究组采用镜像疗法联合常规康复训练,两组共坚持治疗8周。治疗前、治疗4周、8周后分别评定Tinetti步态评估量表(TGA)、功能性步行量表(FAC)、Fugl-Meyer平衡量表和Berg平衡量表评分,同时对比两组生活质量状况,观察并记录不良反应以及病例脱落现象。结果治疗4周和8周后,两组TGA、FAC、Fugl-Meyer平衡量表和Berg平衡量表评分高于治疗前,且研究组高于对照组(P<0.05,P<0.01);治疗8周后,两组上述指标高于治疗4周后(P<0.05)。研究组生活质量优于对照组(P<0.05)。所有患者均获得随访,无病例脱落现象,两组均未出现不良反应。结论镜像疗法联合常规康复训练对脑卒中后偏瘫患者康复效果确切,有利于恢复平衡功能,提高肢体运动能力和生活质量。Objective To investigate effects of mirror therapy combined with routine rehabilitation training onlimb motor function and balance of patients with poststroke hemiplegia. Methods A total of 108 patients with poststroke hemiplegia admitted during May 2013 and February 2015 were divided into control group （ n = 54）and study group（ n = 54）according to different rehabilitation methods. Control group received routine rehabilitation training,while studygroup received mirror therapy combined with routine rehabilitation training,and the two groups were treated for 8 weeks.Tinetti gait assessment （ TGA）score,functional ambulation category （ FAC）scale,FuglMeyer balance scale and Bergbalance scale were respectively evaluated before treatment,and in 4 and 8 weeks after treatment,and quality of life wascompared between the two groups,and adverse reactions and cases of shedding conditions were also recorded simultaneously. Results In 4 and 8 weeks after treatment,scores of TGA,FAC,FuglMeyer balance and Berg balance were significantly higher than those before treatment in the two groups,and the scores in study group were significantly higherthan those in control group （ P 〈 0. 05,P 〈 0. 01） . In 8 weeks after treatment,the above scores were significantly higherthan those in 4 weeks after treatment in two groups （ P 〈 0. 05） . Quality of life in study group was better than that in control group （ P 〈 0. 05） . All patients were followed up,no case was shedding,and no adverse reactions were found in twogroups. Conclusion Mirror therapy combined with routine rehabilitation training can achieve good effect,and it is helpful to restore balance function,improve physical exercise ability and quality of life of patients with poststroke hemiplegia.

关 键 词：镜像疗法 康复 脑卒中 偏瘫 

分 类 号：R743[医药卫生—神经病学与精神病学]