作业治疗对脑卒中后偏瘫患者日常生活活动能力的影响  

Effect of occupational therapy on activity of daily living in patients with post-stroke hemiparesis

作　　者：顾力华[1] 陈奇刚[1] 刘朵[1] 黄学平 陈小霞[1] 崔婷[1] 邰先桃 周剑英[1] GU Lihua;CHEN Qigang;LIU Duo;HUANG Xueping;CHEN Xiaoxia;CUI Ting;TAI Xiantao;ZHOU Jianying(Kunming Traditional Chinese Medicine Hospital,Kunming 650559,China;Yunnan University of Traditional Chinese Medicine,Kunming 650500,China)

机构地区：[1]昆明市中医医院,云南昆明650559 [2]云南中医药大学,云南昆明650500

出　　处：《中国实用神经疾病杂志》2020年第17期1539-1543,共5页Chinese Journal of Practical Nervous Diseases

基　　金：“十二·五”国家科技支撑计划项目(编号:2013BAI10B03)。

摘　　要：目的探讨作业治疗对脑卒中偏瘫患者日常生活活动能力的影响。方法选取40例脑卒中后上肢及手功能障碍患者,随机分为对照组(A组)和治疗组(B组)各20例。对照组接受基础康复训练,治疗组采取基础康复训练和日常生活能力训练,治疗时间均为6周。治疗前后采用改良Barthel指数(MBI)评定患者的日常生活活动能力。结果治疗6周后,2组患者的MBI评分较治疗前均明显提高(P<0.05),且治疗组改善效果更显著(P<0.01)。结论作业治疗能更有效提高脑卒中偏瘫患者的日常活动活动能力。Objective To investigate the effects of occupational therapy on the daily activities of stroke patients with hemiplegia.Methods 40 patients with upper limb and hand dysfunction after stroke were randomly divided into the control group(group A)and the treatment group(group B),with 20 cases each.Patients in both groups received basic rehabilitation training,and the treatment group received a total of 6 weeks of treatment on the basis of the control group.The modified Barthel index(MBI)was used before and after the treatment to assess the daily activities of the patients.Results After 6 weeks of treatment,MBI scores in both groups were significantly higher than those before treatment(P<0.05),and the improvement effect in the treatment group was more significant(P<0.01).Conclusion Occupational therapy can improve the daily activities of stroke patients with hemiplegia more effectively.

关 键 词：脑卒中 偏瘫 作业治疗 日常生活活动能力 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]