强化ADL训练对脑卒中患者日常生活能力的影响  

Effect of intensive ADL training on the daily life ability of stroke patients

作　　者：赵娟 刘培乐 王瑜元 南向亮 蒋留军 从洋洋 邱晓 白玉龙 ZHAO Juan;LIU Peile;WANG Yuyuan;NAN Xiangliang;JIANG Liujun;CONG Yangyang;QIU Xiao;BAI Yulong(Department of Rehabilitation Medicine,Northern Division of Huashan Hospital,Fudan University,Shanghai 201907,China;Department of Rehabilitation Therapy,Shanghai Third Rehabilitation Hospital,Shanghai 200436,China)

机构地区：[1]复旦大学附属华山医院北院康复医学科,上海201907 [2]上海市第三康复医院康复治疗科,上海200436

出　　处：《上海医药》2022年第1期34-37,共4页Shanghai Medical & Pharmaceutical Journal

基　　金：上海静安区卫生系统医学科研课题面上项目(2015MS05);中国残联课题残疾人辅助器具专项(CJFJRRB33-2020);上海市卫生健康委员会科研课题青年项目(20204Y0442);上海市申康管理中心三级郊区项目(SHDC12014906)。

摘　　要：目的:观察强化日常生活活动能力(activities of daily living,ADL)训练对脑卒中患者日常生活能力的影响。方法:采用前瞻性、单盲、随机、对照研究方法,将符合入组标准的58例脑卒中患者分为试验组(n=29)和对照组(n=29)。试验组进行强化ADL训练,对照组患者进行常规康复治疗。治疗前、治疗3周和治疗结束3个月、治疗结束6月时使用上肢简化Fugl-Meyer运动功能量表(Fugl-Meyer motor assessment,FMA)、Barthel指数评定量表、上肢动作研究量表(action research arm test,ARAT)进行功能评定。结果:在治疗和随访中,两组患者的上肢简化FMA、Barthel指数和ARAT评分均有显著改善(均P<0.001),组间比较均无显著差异(均P>0.05)。治疗结束6个月时与治疗前Barthel指数差值评分比较,试验组优于对照组(P<0.05)。结论:相较于常规治疗,强化ADL训练可能对脑卒中患者日常生活活动能力的持续效果更好。Objective:To observe the effect of intensive activities of daily living(ADL)training on the daily life ability of stroke patients.Methods:Fifty-eight stroke patients who met the criteria for admission were divided into a test group(n=29)and a control group(n=29)using prospective,single-blind,randomized,controlled research methods.The test group underwent intensive ADL training and the control group underwent routine rehabilitation therapy.The upper limb simplified Fugl-Meyer motor assessment(FMA),Barthel index rating scale,and upper limb action research arm test(ARAT)were used to assess the function before,at three weeks,three months and six months after treatment.Results:The upper limb simplified FMA,Barthel index,and ARAT scores were all significantly improved in both groups(all P<0.001)during treatment and follow-up,however the differences showed no statistical significance(all P>0.05).The score of Barthel index difference was better in the test group than the control group at the end of six months compared with that before(P<0.05).Conclusion:Compared with conventional therapy,intensive ADL training may have a better lasting effect on daily activity in stroke patients.

关 键 词：强化 ADL 训练 脑卒中 日常生活能力 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]