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三级康复治疗对脑卒中偏瘫患者功能预后的影响 被引量:33

Effects of 3-phase rehabilitation on functional outcome in hemiplegia after stroke
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摘要 目的探讨三级康复治疗对脑卒中偏瘫患者肢体运动功能和ADL能力预后的影响。方法按统一标准入选的80例偏瘫患者随机分为治疗组40例,对照组40例。两组患者均接受常规的临床治疗和护理。治疗组除常规临床治疗外,严格按照“十五”攻关课题“脑血管病三级康复治疗方案”进行康复训练,直至病程6个月末;对照组不做任何正规康复训练。分别于病程1个月、3个月、6个月时比较两组患者肢体的运动功能和ADL能力恢复情况。结果①两组患者在入组时,上肢、手及下肢的运动功能差异没有显著性意义(P>0.05);病程1个月时上肢和下肢功能差异出现显著性意义(P<0.05);3-6个月时差异更加显著(P<0.01);同时手功能也出现显著性差异(P<0.05)。②两组患者在入组时ADL能力差异没有显著性意义(P>0.05);病程1个月时差异出现显著性意义(P<0.05);病程3—6个月时差异更为显著(P<0.01)。结论三级康复治疗可以有效地改善脑卒中偏瘫患者的肢体运动功能,提高日常生活活动能力,降低并发症的发生。 Objective:To explore the effects of 3-phase rehabilitation on functional outcome in patients with hemiplegia after stroke. Method: 80 hemiplegia patients were randomly divided into rehabilitation group and control group. The patients in control group only received medication treatment,and the patients in rehabilitation group were given regularly physical training except medication. Motor function and the ability of daily activities (Barthel index) were compared pre-treatment and 1mon,3mon,6mon post-treatment.Result: ①The motor function of upper extremities,hand and lower extremities had no significant difference between two groups(P〉0.05).After lmon rehabilitation,motor function of upper and lower extremities in rehabilitation group improved significantly than control group(P〈0.05),and more significantly after 3 and 6 months training(P〈0.01). The motor function of hand in rehabilitation group had significant difference compared with the control group after 6mon training.② ADL had no difference between two groups pre-treatment.After 1mon training,ADL in rehabilitation group improved significantly than control group (P〈0.05).After 3-6mon rehabilitation,the difference was more significant (P〈0.01). Conclusion:3-phase rehabilitation can improve effectively the motor function of extremities and ADL of hemiplegia patients after stroke and reduce rate of complication.
出处 《中国康复医学杂志》 CAS CSCD 北大核心 2006年第1期61-63,共3页 Chinese Journal of Rehabilitation Medicine
基金 国家"十五"攻关课题[2001BA703B18(A)]
关键词 脑卒中 偏瘫 运动功能 ADL能力 stroke hemiplegia motor function activity of daily living
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