作业治疗在脑卒中患者康复中的效果探讨  

Application of occupational therapy in rehabilitation of stroke patients

作　　者：朱卫娟 ZHU Wei-juan(Suzhou Wuzhong People's Hospital,Suzhou 215007,China)

机构地区：[1]江苏省苏州市吴中人民医院,215007

出　　处：《中国实用医药》2023年第15期164-167,共4页China Practical Medicine

摘　　要：目的探讨作业治疗在脑卒中患者康复中的效果。方法60例脑卒中患者,采取随机数字表法分为研究组和对照组,每组30例。研究组患者在康复过程中采取作业治疗,对照组患者在康复过程中采取常规康复疗法。比较两组肢体功能恢复情况、神经功能缺损情况、日常生活活动能力及生活质量评分。结果治疗后,两组患者上肢、下肢Fugl-Meyer肢体运动功能评定量表评分及Fugl-Meyer肢体运动功能评定量表总评分均高于治疗前,且研究组患者上肢Fugl-Meyer肢体运动功能评定量表评分(62.35±5.48)分、下肢Fugl-Meyer肢体运动功能评定量表评分(30.36±3.87)分、Fugl-Meyer肢体运动功能评定量表总评分(92.71±9.35)分均高于对照组的(56.26±4.13)、(25.35±3.76)、(81.61±7.89)分,差异有统计学意义(P<0.05)。治疗后,两组患者美国国立卫生研究院卒中量表(NIHSS)评分低于治疗前,日常生活能力量表(ADL)评分高于治疗前,且研究组患者NIHSS评分(8.56±1.04)分低于对照组的(16.24±1.18)分,ADL评分(80.17±4.19)分高于对照组的(73.28±6.42)分,差异有统计学意义(P<0.05)。治疗后,研究组患者躯体功能、生理功能、社会功能、精神健康评分分别为(85.15±12.32)、(62.24±12.11)、(65.45±11.58)、(75.36±10.31)分,均高于对照组的(72.22±11.13)、(49.21±10.08)、(53.04±10.11)、(62.24±11.97)分,差异有统计学意义(P<0.05)。结论将作业治疗应用于脑卒中患者的康复过程中,能够有效改善患者的肢体功能及神经缺损情况,并且促进日常生活活动能力的提升,从而有助于提升患者的生活质量,值得在临床中推广。Objective To discuss the effect of occupational therapy in rehabilitation of stroke patients.Methods A total of 60 cases of stroke patients were divided into research group and control group according to the random numerical table,with 30 cases in each group.Patients in the research group received occupational therapy during rehabilitation,while patients in the control group received conventional rehabilitation therapy during rehabilitation.The recovery of limb function,neurological deficit,activities of daily living and quality of life score of the two groups were compared.Results After treatment,the scores of Fugl-Meyer assessment scale of upper and lower limbs and the total scores of Fugl-Meyer motor assessment scale in both groups were higher than those before treatment in this group;in the research group,score of Fugl-Meyer assessment scale of upper limb was(62.35±5.48)points,the score of Fugl-Meyer assessment scale of lower limb was(30.36±3.87)points,and the total scores of Fugl-Meyer motor assessment scale was(92.71±9.35)points,which were higher than those of(56.26±4.13),(25.35±3.76),and(81.61±7.89)points in the control group;the differences were statistically significant(P<0.05).After treatment,the National Institutes of Health Stroke Scale(NIHSS)score in both groups was lower than that before treatment in this group,and the activities of daily living(ADL)score was higher than that before treatment in this group;NIHSS score of(8.56±1.04)points in the research group was lower than that of(16.24±1.18)points in the control group;ADL score of(80.17±4.19)points in the research group was higher than that of(73.28±6.42)points in the control group;the differences were statistically significant(p<0.05).After treatment,the scores of bodily function,physical function,social function,and mental health were(85.15±12.32),(62.24±12.11),(65.45±11.58),and(75.36±10.31)points in the research group,which were higher than those of(72.22±11.13),(49.21±10.08),(53.04±10.11),and(62.24±11.97)points in the control

关 键 词：作业治疗 脑卒中 康复效果 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R49[医药卫生—临床医学]