双臂训练对改善偏瘫患者四肢功能和日常生活能力的效果  

Effect of Double Arm Training on Improving Limb Function and Daily Living Ability of Hemiplegia Patients

作　　者：黄宝玉 刘健辉 赵加锬 HUANG Bao-yu;LIU Jian-hui;ZHAO Jia-tan(Department of rehabilitation,Huiya hospital of the first affiliated hospital,Sun Yet-sen university,Huizhou,Guangdong 516000)

机构地区：[1]惠州市中大惠亚医院康复科,广东惠州516000

出　　处：《中国伤残医学》2023年第2期29-32,70,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:研究双侧手臂训练对改善偏瘫患者上肢功能和日常生活(ADL)表现的有效性。方法:选取2018年6月-2021年1月于我院接受治疗的86例中风偏瘫患者,依据随机抽签法分为观察组与对照组,各43例。观察组接受双边手臂锻炼治疗和职业治疗,对照组仅接受普通职业治疗。对治疗前后2组患者FMA、BBT、MBI评分及变化进行比较。结果:治疗前观察组的FMA、BBT、MBI评分与对照组对比,差异均无统计学意义(P>0.05);2组治疗后的FMA、BBT、MBI评分均明显高于治疗前,差异有统计学意义(P<0.05);且治疗后观察组的FMA、BBT、MBI评分均明显大于对照组,差异有统计学意义(P<0.05);治疗前2组生活质量评分无显著差异,均无统计学意义(P>0.05),治疗后观察组生活质量评分显著高于对照组,差异具有统计学意义(P<0.05)。结论:双侧手臂训练结合一般职业治疗可能比单纯职业治疗更有效地改善中风偏瘫患者的上肢功能和ADL表现。Objective:To investigate the effectiveness of bilateral arm training in improving upper limb function and ADL performance in hemiplegia patients.Methods:a total of 86 patients with hemiplegic stroke who received treatment in our hospital from June 2018 to January 2021 were selected and divided into observation group and control group according to random drawing.The observation group received bilateral arm exercise therapy and occupational therapy,and the control group only received general occupational therapy.FMA,BBT,MBI scores and changes were compared between the two groups before and after treatment.Results:Before treatment,the FMA,BBT,and MBI scores of the observation group were compared with those of the control group,and there was no significant difference(P>0.05);the FMA,BBT,and MBI scores of the observation group and the control group before treatment were significantly lower than those after treatment,and there were differences Statistically significant(P<0.05);FMA,BBT,and MBI scores of the observation group after treatment were significantly greater than those of the control group,and the difference was statistically significant(P<0.05);There was no significant difference in the quality of life scores between the two groups before treatment,neither It was statistically significant(P>0.05).After treatment,the quality of life score of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:Bilateral arm training combined with general occupational therapy may be more effective than occupational therapy alone in improving upper limb function and ADL performance in hemiplegic stroke patients.

关 键 词：中风 双边手臂训练 上肢功能 日常生活活动 

分 类 号：R493[医药卫生—康复医学]