远程康复系统对脑卒中出院患者上肢功能的影响  

Effect of telerehabilitation system on upper extremity function of discharged stroke patients

作　　者：王冉 张英[1] 郝赤子[1] 龚瑜 廖维靖[1] Wang Ran;Zhang Ying;Hao Chizi(Department of Rehabilitation Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China)

机构地区：[1]武汉大学中南医院康复医学科,武汉430071

出　　处：《中国康复》2020年第10期522-525,共4页Chinese Journal of Rehabilitation

摘　　要：目的:观察远程康复系统对脑卒中出院患者上肢功能的影响。方法:将38例脑卒中出院患者随机分为研究组(n=19)和对照组(n=19)。研究组接受远程康复系统方案,对照组给予常规家庭康复方案,治疗4周,随访4周。在出院时、治疗后和随访时(治疗结束4周后),采用上肢Fugl-Meyer评分法(FMA-UE)、Caroll上肢功能测试(UEFT)和改良Barthel指数(MBI)评定患者上肢功能和日常生活能力,同时采用Zarit护理者负担量表(ZBI)评定患者家属的照顾负担。结果:治疗后和随访时,2组患者FMA-UE与UEFT评分的时间效应和交互效应显著(P<0.05),MBI与ZBI评分的时间效应显著(P<0.05)。2组患者FMA-UE、UEFT和MBI评分均较出院时呈持续增高(均P<0.05),ZBI评分均较出院时呈持续下降(均P<0.05);研究组FMA-UE在治疗后和随访时均优于对照组(均P<0.05),研究组UEFT评分在随访时优于对照组(P<0.05)。结论:远程康复系统可有效改善脑卒中出院患者的上肢功能。Objective:To investigate the effect of telerehabilitation system on upper extremity function of discharged stroke patients.Methods:Thirty-eight discharged stroke patients were randomly assigned into experiment group(n=19)and control group(n=19),respectively receiving telerehabilitation program and routine family rehabilitation program for 4 weeks.They were assessed with Fugl-Meyer Assessment-Upper Extremity(FMA-UE),Upper Extremity Functional Test(UEFT)and Modified Barthel Index(MBI).The families of patients were evaluated with Zarit Caregiver Burden Interview(ZBI)before discharge,after 4 weeks of treatment(after treatment)and during the follow-up period.Results:There was significant difference in time effect and interaction effect of FMA-UE and UEFT scores in both groups(P<0.05).And time effect of MBI and ZBI scores in both groups also had statistically significant difference(P<0.05).FMA-UE,UEFT and MBI scores of patients in two groups were continuously increased(all P<0.05),and ZBI scores were continuously decreased(both P<0.05).FMA-UE scores in the experiment group were improved as comperde with those in the control group after treatment and during the follow-up period(both P<0.05),and UEFT scores in the experiment group were improved as comperde with those in the control group during the follow-up period(P<0.05).Conclusion:The telerehabilitation system can effectively improve the upper extremity function of discharged stroke patients.

关 键 词：脑卒中 远程康复 上肢功能 

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