基于《国际功能、残疾和健康分类》功能障碍组合的康复治疗对脑卒中后偏瘫患者躯体功能的影响  

Rehabilitation based on the categorization of the International Classification of Functioning,Disability and Health′s Rehabilitation Set can more effectively improve the physical functioning of hemiplegic stroke survivors

作　　者：徐伟文 陈洋 唐潮 陈坤 许明月 项洁 Xu Weiwen;Chen Yang;Tang Chao;Chen Kun;Xu Mingyue;Xiang Jie(Department of Rehabilitation,Suqian First People′s Hospital,Suqian 223800,China;Emergency Department,Suqian First People′s Hospital,Suqian 223800,China;Department of Rehabilitation,Affiliated Hospital of Xuzhou Medical University,Xuzhou 221000,China)

机构地区：[1]宿迁市第一人民医院针灸康复科,宿迁223800 [2]宿迁市第一人民医院急诊科,宿迁223800 [3]徐州医科大学附属医院康复科,徐州221000

出　　处：《中华物理医学与康复杂志》2023年第11期961-965,共5页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家重点研发计划课题(2020YFC2006604)。

摘　　要：目的观察基于《国际功能、残疾和健康分类》(ICF)功能障碍组合的康复治疗方案对脑卒中偏瘫患者身体能力的影响。方法选取脑卒中偏瘫患者90例,采用随机数字法将其分为观察组(n=45)及对照组(n=45)。观察组患者先采用ICF功能障碍组合进行身体功能评估,然后根据评定结果制定康复计划和目标,并进行康复治疗,康复治疗每日1次,每次60 min,每周5~6次,康复课程每周1次,每次1 h,连续干预4周。对照组采用传统的康复模式对患者进行评估和治疗。于治疗前和治疗4周后采用Fugl-Meyer感觉运动评定量表(FM)和功能独立性量表(FIM)评估2组患者的各项功能,并进行统计学分析。结果治疗后,2组患者FM量表中的上肢功能评分、下肢功能评分和总分与组内治疗前比较,差异均有统计学意义(P<0.05),且观察组患者治疗后的上肢功能评分、下肢功能评分和总分分别为(40±11)分、(25±4)分和(65±13)分,与对照组治疗后比较,差异均有统计学意义(P<0.05)。治疗后,2组患者FIM量表的各项评分与组内治疗前比较,差异均有统计学意义(P<0.05),且观察组患者治疗后FIM量表的各项评分与对照组治疗后比较,差异均有统计学意义(P<0.05)。结论基于ICF功能障碍组合的康复治疗方案可更有效地改善脑卒中偏瘫患者的身体功能。Objective To observe any effect of using the International Classification of Functioning,Disability and Health(ICF)rehabilitation set in rehabilitating the physical ability of hemiplegic stroke survivors.Methods Ninety stroke survivors with hemiplegia were selected and randomly divided into an observation group(n=45)and a control group(n=45).The observation group was first assessed using the ICF and then given 60 minutes of individualized rehabilitation,5 or 6 times a week for 4 weeks in addition to a weekly one-hour rehabilitation course.The control group were evaluated and treated traditionally.Before and after the intervention,both groups were evaluated using the Fugl-Meyer exercise assessment(FM)and functional independence assessment(FIM).Results After the treatment the average upper and lower limb scores as well as the total FM scores had improved significantly.Those of the observation group were then significantly different from the control group′s averages.Conclusion Basing rehabilitation on the ICF can more effectively improve the physical functioning of hemiplegic stroke survivors.

关 键 词：ICF功能障碍组合 脑卒中 偏瘫 身体功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]