老年患者脑卒中后手、上肢触觉和两点辨别觉改变及其与上肢运动功能的相关性研究  

Changes in Tactile Sensation and Two-point Discrimination of Hands and Upper Limbs and the Correlation with Upper Limb Motor Function in the Elderly after Stroke

作　　者：邵芃 徐英 丁力 苏巍 吉艳云 陆海峰 龙海生 赵伟忠 贾杰 Shao Peng;Xu Ying;Ding Li;Su Wei;Ji Yanyun;Lu Haifeng;Long Haisheng;Zhao Weizhong;Jia Jie(College of Rehabilitation Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian Province, 350122;Zhongren Geriatric Nursing Hospital, Jinshan District, Shanghai, 201501;Department of Rehabilitation, Huashan Hospital Affiliatedto Fudan University, Shanghai, 200040;Maqiao Community Health Service Center, Minhang District, Shanghai, 201111; P. R.)

机构地区：[1]福建中医药大学康复医学院,福建福州350122 [2]上海市金山区众仁老年护理医院,上海201501 [3]复旦大学附属华山医院康复医学科,上海200040 [4]上海市闵行区马桥社区卫生服务中心,上海201111

出　　处：《老年医学与保健》2018年第6期646-649,654,共5页Geriatrics & Health Care

基　　金：科技部"十二五"科技支撑计划课题(2013BAI10B03);国家高技术研究发展计划项目(2015AA020501);上海市科委科研计划项目(15441901602;16441905303);上海市闵行区自然科学研究课题(2017MHZ27)

摘　　要：目的探讨老年脑卒中患者手、上肢触觉和两点辨别觉改变情况及其与上肢运动功能的关系。方法使用感觉测量工具对老年脑卒中患者(n=33)进行双侧示指、前臂及上臂触觉和双侧拇指、示指及大鱼际两点辨别觉测定,并使用Fugl-Meyer上肢运动功能评定(FMA-UE)评价患者上肢运动功能。健康对照组(n=28)采用同样方法测定相同部位的触觉和两点辨别觉。结果对照组左、右侧及二者与卒中组健侧触觉、两点辨别觉无统计学差异(P>0.05)。卒中组患侧感觉较健侧感觉差(P<0.05);触觉好的卒中患者FMA-UE评分高于触觉较差的卒中患者(P<0.05)。结论脑卒中后,老年患者患侧触觉及两点辨别觉减退明显,且触觉损害与运动功能相关。Objective To discuss the changes in tactile sensation and two-point discrimination in the elderly with stroke and the correlation between the changes and upper limb motor function.Methods The sensory measurement tools were applied to 33 elderly in stroke group to measure the tactile sensation on bilateral index fingers,forearm and upper arms as well as the two-point discrimination on bilateral thumbs,index fingers and thenars while Fugl-Meyer Assessment-Upper Extremity(FMAUE)was used to assess the motor function of their upper extremities;the same measurement was performed on 30 health norm in control group.Results There existed no statistical differences in tactile sensation and the two-point discrimination between the right and left sides of the norm in control group and between the2sides of the norm in control group and the unaffected side of the elderly in stroke group(P>0.05);the FMA-UE scores of the elderly with better tactile sensation were higher than those of the elderly with poorer tactile sensation in stroke group(P<0.05).Conclusions The tactile sensation and two-point discrimination of the elderly after stroke decrease obviously and the impairment of tactile sensation is of certain correlation with motor function.

关 键 词：老年 脑卒中 上肢 感觉障碍 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]