脑卒中后偏瘫患者肢体痉挛的家庭康复治疗  

Family rehabilitation therapy for hemiplegic patients with limb spasm after stroke

作　　者：孔莉[1] 林智[1] Kong Li;Lin Zhi(Department of Rehabilitation Medicine,Renji Hospital,Jiaotong University,Shanghai 200127,China)

机构地区：[1]上海交通大学医学院附属仁济医院康复医学科

出　　处：《中国康复》2019年第9期455-457,共3页Chinese Journal of Rehabilitation

摘　　要：目的:观察脑卒中偏瘫患者肢体痉挛的家庭康复治疗的疗效。方法:将脑卒中偏瘫痉挛患者107例随机分为对照组53例及观察组54例。2组患者均给予常规抗痉挛药物治疗,观察组患者在常规药物治疗的基础上,在医师的定期指导下,由家属和患者自己进行综合的抗痉挛康复训练。2组患者均于入组前、入组后1个月、3个月、6个月分别采用改良Ashworth评定、简化Fugl-Meyer运动功能评分及改良Barthel指数(MBI)进行评定。结果:入组1个月后,2组患者的Ashworth痉挛量表分级、FMA评分、MBI评分比较,差异均无统计学意义。入组后3个月和6个月,2组患者的Ashworth痉挛量表分级、FMA评分、MBI评分比较,差异有统计学意义(P<0.01)。结论:在康复医师或治疗师的指导下,患者在服用抗痉挛药物的同时坚持抗痉挛康复训练是切实有效的,能更好地改善患者的肢体运动功能和日常生活活动能力。Objective:To observe the effect of family rehabilitation therapy on the stroke patients with limb spasm.Methods:All 107 patients with hemiplegia and spasm after stroke were divided into control group(53 cases)and rehabilitation group(54 cases)randomly.Both groups were treated with conventional antispasmodic drugs.On the basis of routine drug treatment,the patients in the rehabilitation group were treated with antispasmodic rehabilitation training.These rehabilitation treatments were carried out by family members and patients themselves under the regular guidance of rehabilitation doctors.Both groups were assessed by modified Ashworth,simplified Fugl-Meyer motor function score and modified Barthel index(MBI)before admission,1 month after admission,3 months after admission and 6 months after admission.Results:One month after admission,there was no significant difference in Ashworth Spasm Scale,FMA score and MBI score between the two groups(P>0.05).Three months and 6 months after admission,there were significant differences in Ashworth Spasm Scale,FMA score and MBI score between the two groups(P<0.01).Conclusion:Under the guidance of rehabilitation physicians or therapists,it is effective for patients to take anti-spasmodic rehabilitation training while taking anti-spasmodic drugs,which can better improve their limb motor function and activities of daily life.

关 键 词：脑卒中 痉挛 功能障碍 家庭治疗 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]