个体化康复方案治疗急性脑梗死后痉挛性偏瘫的效果  

The effect of personalized rehabilitation protocol on spastic hemiplegia after acute cerebral infarction

作　　者：沈玉龙 罗映雪 俞亚平 SHEN Yulong;LUO Yingxue;YU Yaping(Department of Emergency,Jinhua Hospital of Traditional Chinese Medicine,Jinhua 321000,China;不详)

机构地区：[1]金华市中医医院急诊科,321000 [2]金华市中医医院外科,321000

出　　处：《心电与循环》2025年第2期198-201,共4页Journal of Electrocardiology and Circulation

摘　　要：目的探讨急性脑梗死(ACI)后痉挛性偏瘫患者的个体化康复治疗效果。方法前瞻性选择2017年12月至2020年12月金华市中医医院收治的ACI后痉挛性偏瘫患者100例,分为观察组和对照组,各50例。两组患者接受常规康复训练,观察组在常规康复训练基础上接受个体化康复训练,时间12周。康复训练前后,采用改良Ashworth痉挛量表(MAS)评估肘关节、膝关节痉挛程度,采用徒手肌力分级法(MMT)评估肌力,采用布氏(Brunnstrom)分级评估上下肢肌力和运动功能,采用Barthel评分评估日常生活活动能力。结果康复治疗后两组患者肘关节、膝关节MAS评分均低于训练前,且观察组低于对照组,而上下肢MMT评分、运动功能评分、Barthel评分高于训练前,且观察组高于对照组,差异均有统计学意义(均P<0.05)。结论个体化康复训练可改善ACI后痉挛性偏瘫患者的痉挛程度,增强患侧上下肢肌力和运动功能,提高患者日常生活活动能力。Objective To investigate the effects of personalized rehabilitation on patients with spastic hemiplegia after acute cerebral infarction(ACI).Methods A total of 100 patients with spastic hemiplegia after ACI who admitted to Jinhua Hospital of Traditional Chinese Medicine from December 2017 to December 2020 were prospectively enrolled and divided into an observation group and a control group,with 50 cases in each group.Both groups received conventional rehabilitation for 12 weeks.Meanwhile,the observation group received personalized rehabilitation training.Before and after rehabilitation training,modified Ashworth Spasticity Scale(MAS)score was used to assess the spasticity of elbow and knee joints,Manual Muscle Testing(MMT)was used to measure the muscle strength,Brunnstrom score was used to evaluate the muscle strength and motor function of upper and lower limbs,and Barthel score was used to assess the activities of daily living.Results After rehabilitation therapy,the MAS scores of the elbow and knee joints in both groups of patients were lower than before training,and the observation group was lower than the control group,however,the MMT scores,motor function scores,and Barthel scores of the upper and lower limbs were higher than before training,and the observation group was higher than the control group,with statistically significant differences for all(all P<0.05).Conclusion Personalized rehabilitation training can improve limb spasticity,muscle strength,as well as motor function in both the affected upper and lower limbs,and activities of daily living of patients with spastic hemiplegia after ACI.

关 键 词：急性脑梗死 痉挛性偏瘫 康复训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]