自我意念法对脑卒中偏瘫患者的肢体功能和生活能力的影响  

Effect of self-consciousness method on limb function and living ability of stroke patients with hemiplegia

作　　者：朱童[1] 吴月峰[1] ZHU Tong;WU Yuefeng(Department of Rehabilitation,Shaoxing People's Hospital,Shaoxing 312000,China)

机构地区：[1]绍兴市人民医院康复科,浙江绍兴312000

出　　处：《中国现代医生》2019年第4期91-94,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2017RC028);浙江省绍兴市科技计划项目(2015B70049)

摘　　要：目的探讨自我意念法对脑卒中偏瘫患者的肢体功能和生活能力的影响。方法选取2016年1月～2017年12月本院收治100例脑卒中偏瘫患者随机分为观察组(n=50)和对照组(n=50)。对照组:给予患者常规药物治疗及综合性康复功能训练,观察组:在对照组基础上给予患者自我意念法。应用Fugl-Meyer(FMA)评分表、日常生活活动能力评定(ADL)、抑郁自评量表(SDS)、功能独立性评定(FIM)评价患者的恢复情况。结果与对照组患者临床疗效68.00%相比,观察组患者临床治疗总有效率为94.00%,临床有效率显著提高(P<0.05)。与对照组治疗后相比,观察组患者应用自我意念法进行心理治疗后,FMA上肢和下肢总评分显著上升,SDS总评分显著下降,ADL评分Barthel指数显著上升(P<0.05)。与对照组患者FIM评定结果(32.00%)相比,观察组患者FIM评定显著升高至62.00%,差异具有统计学意义(P<0.05)。结论自我意念法配合综合性功能训练可明显改善脑卒中偏瘫患者的肢体功能障碍,并提高患者的生活能力。Objective To explore the effect of self-consciousness method on the limb function and living ability of stroke patients with hemiplegia. Methods 100 stroke patients with hemiplegia from January 2016 to December 2017 were randomly divided into observation group(n=50) and control group(n=50). The control group was given conventional drug therapy and comprehensive rehabilitation function training. The observation group was given self-consciousness method on the basis of the treatment in the control group. Patients were assessed for recovery using Fugl-Meyer(FMA) scores, activities of daily living ability(ADL), self-rating depression scale(SDS), and functional independence assessment(FIM). Results Compared with the clinical efficacy of the control group of 68.00%, the total effective rate of clinical treatment in the observation group was 94.00%, and the clinical effective rate was significantly improved(P<0.05). Compared with those of the control group after treatment, the total scores of the upper and lower extremities of the FMA increased significantly after the psychotherapy of the observation group. The total score of SDS decreased significantly, and the Barthel index of ADL score increased significantly(P<0.05). Compared with the control group's FIM assessment result of 32.00%, the FIM assessment of the observation group was significantly increased to 62.00%, with statistical difference(P<0.05). Conclusion Self-consciousness method combined with comprehensive functional training can significantly improve the limb dysfunction of stroke patients with hemiplegia and improve their living ability.

关 键 词：自我意念法 脑卒中偏瘫 肢体功能 生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]