康复机器手治疗对脑卒中不同时期患者手功能恢复的影响  

Effect of rehabilitation robotic hand therapy on hand function recovery at different periods of stroke

作　　者：马红梅 慕雅婷 刘玲[1] 朱琳[1] 李冬[1] 王宝兰[1] MA Hongmei;MU Yating;LIU Ling;ZHU Lin;LI Dong;WANG Baolan(Department of Rehabilitation Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urumqi,Xinjiang,830054,China)

机构地区：[1]新疆医科大学第一附属医院康复医学科,新疆乌鲁木齐830054

出　　处：《当代医学》2023年第6期1-5,共5页Contemporary Medicine

基　　金：新疆维吾尔自治区自然科学基金(2015211C067);新疆维吾尔自治区科技支疆项目计划(指令性)项目(2019E0283)。

摘　　要：目的探讨康复机器手治疗对脑卒中急性期和恢复期患者手功能恢复的影响。方法选取2018年1月至2020年1月于新疆医科大学第一附属医院康复医学科住院的80例脑卒中患者作为研究对象,按照随机数字表法分为对照组与实验组,每组40例。对照组给予常规康复治疗,实验组在对照组基础上给予康复机器手治疗,比较两组Brunnstorm评分、Fugl-Meyer上肢运动功能量表中手功能部分(FMA-UEH)评分、Barthel指数(BI)评分及不良事件发生情况。结果组内比较:治疗2周,两组急性期Brunnstrom评分、FMA-UE-H评分与恢复期比较差异均无统计学意义;治疗4周,两组急性期、恢复期Brunnstrom评分、FMA-UE-H评分均高于治疗2周,且实验组急性期Brunnstrom评分、FMA-UE-H评分均高于恢复期,差异有统计学意义(P<0.05),对照组急性期Brunnstrom评分、FMA-UE-H评分与恢复期比较差异均无统计学意义;组间比较:治疗2周,两组急性期Brunnstrom评分、FMA-UE-H评分比较差异无统计学意义;治疗4周,实验组急性期Brunnstrom评分、FMA-UE-H评分均高于对照组,差异有统计学意义(P<0.05);治疗2、4周,两组恢复期Brunnstrom评分、FMA-UE-H评分比较差异均无统计学意义。两组急性期、恢复期BI评分时点比较差异有统计学意义(P<0.05),两组急性期BI评分组间比较差异有统计学意义(P<0.05),两组急性期、恢复期BI评分交互比较差异无统计学意义,两组恢复期BI评分组间比较差异无统计学意义。组内治疗前后比较:实验组急性期、恢复期治疗后各时点BI评分均高于前一时间点,差异有统计学意义(P<0.05);治疗2、4周,对照组急性期、恢复期BI评分均高于治疗前(P<0.05);组内不同分期比较:治疗4周,实验组急性期BI评分高于恢复期,差异有统计学意义(P<0.05),对照组急性期BI评分与恢复期比较差异无统计学意义。组间比较:治疗4周,实验组急性期BI评分高于对照组,差异有统计Objective To explore the effect of rehabilitation robotic hand therapy on hand function recovery in patients with acute and convalescence stage of stroke.Methods 80 patients with stroke admitted to the department of Rehabilitation Medicine of the First Affiliated Hospital of Xinjiang Medical University from January 2018 to January 2020 were selected as the research subjects,and they were divided into the control group and the experimental group according to random number table method,with 30 cases in each group.The control group was given conventional rehabilitation therapy,and the experimental group was given rehabilitation robotic hand therapy on the basis of the control group,the Brunnstorm score,hand mobility scales of the Fugl-Meyer assessment upper extremity(FMA-UE-H)score,and Barthel index(BI)score and the occurrence of adverse events between two groups were compared.Results Within-group comparison:after 2 weeks of treatment,there was no significant difference in Brunnstrom score and FMA-UE-H score in acute and convalescence stages between the two groups;after 4 weeks of treatment,the Brunnstrom score and FMA-UE-H score in acute and convalescence stages of the two groups were higher than those at 2 weeks of treatment,and the Brunnstrom score and FMA-UE-H score in acute stage were higher than those in the convalescence stage in the experimental group,and the differences were statistically significant(P<0.05),there was no significant difference in the Brunnstrom score and FMA-UE-H score between the acute stage and convalescent stage in the control group.Comparison between the groups:after 2 weeks of treatment,there was no significant difference in the Brunnstrom score and FMA-UE-H score in the acute stage between the two groups;after 4 weeks of treatment,the Brunnstrom score and FMA-UE-H score in the experimental group were higher than those in the control group in acute stage,the differences were statistically significant(P<0.05).after 2 and 4 weeks of treatment,there was no significant difference in the Br

关 键 词：康复机器手 脑卒中 手功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]