手功能支具结合作业治疗对脑卒中后上肢及手功能障碍的影响  

Effects of Hand Function Brace Combined with Operation on Upper Limb and Hand Dysfunction after Stroke

作　　者：周剑英[1] 陈奇刚[1] 顾力华[1] 陈小霞[1] 崔婷[1] ZHOU Jian-ying;CHEN Qi-gang;GU Li-hua;CHEN Xiao-xia;CUI Ting(Dept. of Rehabilitation Medicine,Kunming Hospital of Traditional Chinese Medicine,Kunming Yunnan 650011,China)

机构地区：[1]昆明市中医医院康复科,云南昆明650011

出　　处：《昆明医科大学学报》2017年第8期110-112,共3页Journal of Kunming Medical University

基　　金：科技部"十二五"科技支撑计划基金资助项目(2013BAI10B03);昆明市卫生科技人才培养基金资助项目[SW(技)-43]

摘　　要：目的观察手功能支具对脑卒中后上肢及手功能障碍的影响.方法选择65例脑卒中后偏瘫手功能障碍患者随机分为2组,对照组接受常规的内科基础治疗和作业治疗,治疗组除接受与对照组相同的治疗外同时按时佩戴手功能支具.治疗前及4周后分别对上肢及手功能进行简化Fugl-Meyer运动功能评定和ADL的评定.结果 Fugl-Meyer评分在治疗后,治疗组为(39.2±2.7),对照组为(21.3±3.2),治疗组患者评分较对照组差异有统计学意义(P<0.05).ADL疗效总有效率在治疗后,治疗组91.18%,对照组67.74%.治疗组患者疗效较对照组差异有统计学意义(P<0.05).结论手功能支具结合作业治疗能改善脑卒中偏瘫患者上肢及手的运动功能以及ADL.Objective To observe the effect of hand function brace on post-stroke upper limb and hand dysfunction.Methods65cases of post-stroke hemiplegia dysfunction were randomly divided into two groups,the control group and the treatment group.The control group received routine treatment and basic medical treatment,the treatment group received hand function brace on the basis of the same treatment of control group.Before and4weeks after treatment respectively,the upper limb and hand function were assessed by simplified Fugl-Meyer motor function assessment and ADL.Results The Fugl-Meyer score after treatment,the treatment group was39.2+2.7,3.2+21.3in the control group,the patients in the treatment group were significantly lower than the control group(P<0.05.ADL)the total effective rate after treatment,the treatment group91.18%,control group67.74%.treatment group patients significantly lower than the control group(P<0.05).Conclusion The hand function brace combined with occupational therapy can improve stroke hemiplegia Motor function and ADL in patients with upper limb and hand dysfunction.

关 键 词：手功能支具 脑卒中 手功能障碍 

分 类 号：R473[医药卫生—护理学]