康复干预对急性脑卒中偏瘫患者的影响  

The effects of rehabilitation in hemiplegias after stroke

作　　者：胡永善[1] 朱玉连[1] 杨佩君[2] 谢光柏[3] 吴慧敏[4] 

机构地区：[1]复旦大学附属华山医院康复医学科,200040 [2]上海第二医科大学附属瑞金医院康复医学科 [3]上海第二军医大学附属长征医院康复医学科 [4]上海第二医科大学附属仁济医院康复医学科

出　　处：《中国康复医学杂志》2003年第8期463-465,共3页Chinese Journal of Rehabilitation Medicine

基　　金：上海市卫生局重点课题(98-ZD002)

摘　　要：目的:探讨持续康复治疗对脑卒中偏瘫患者运动功能和日常生活活动能力的影响。方法:采用运动疗法、作业治疗及电疗等综合康复治疗方法,对181例入选的脑卒中偏瘫患者进行了临床随机对照性研究。结果:患者入选后首次评价,1个月后、3个月后和6个月后各评价一次Fugl-Meyer运动功能评估(FMA)和日常生活活动能力(ADL)评分(Barthel'sIndex);FMA值:治疗组依次为5.43±4.79、10.54±5.19、12.92±5.34、15.40±4.74,对照组为6.56±6.00、10.00±6.52、8.29±5.00、11.64±5.60;BI值:治疗组依次为6.53±4.62、12.85±5.04、15.94±3.79、17.59±3.63,对照组为7.01±5.54、11.75±6.30、11.66±4.50、14.50±4.30。治疗组和对照组分别作组内比较P<0.001;两组比较得出各阶段的恢复是不均衡的,第一和第二阶段存在显著差异性(P<0.05),治疗组明显优于对照组。结论:康复治疗对偏瘫患者运动功能和日常生活活动能力具有良好的促进作用,可明显降低患者的依赖程度,提高其生存质量。Objective:To study the effect of rehabilitation in hemiplegics after stroke.Method:181patients were randomly divided into two groups,rehabilitation group and control group.Patients in the rehabilitation group were giv-en clinical treatment electric stimulation therapy(EST)and regularly physical therapy,while thoss in control group were given clinical treatment and unguided self-training,and the evaluation was done in pre-treatment,post-one-month,post-three-month and after six months respectively.Motor function was assessed in Fugl-Meyer Assessment(FMA),activities of daily living(ADL)was assessed in Barthel's index(BI).Result:The scores between groups had a significant difference(P<0.001).The process of scores in the rehabilitation group were obviously superior to those in the control group(P<0.001),especially in first three month.Conclusion:Rehabilitation training on hemiplegics after stroke may obivously improve motor function and ADL,decrease the disability and increase the quality of living.

关 键 词：康复干预 急性脑卒中 偏瘫 影响 康复治疗 运动功能 日常生活活动能力 

分 类 号：R49[医药卫生—康复医学]