综合康复治疗脑卒中偏瘫50例报告

Report on comprehensive rehabilitative therapy for 50 cases of brain apoplexy—hemiplegia

本文系对50例脑卒中偏瘫患者,采用药物、理疗、针刺、推拿、中医治疗及功能训练等综合康复治疗的一篇报告。适用于进行疗效观察及功能评定。事实证明:经过三个月左右综合康复治疗,脑卒中偏瘫患者功能都有不同程度提高。疗效评定系按两方面一运动学方面和实用动作方面进行:运动学方面用肌力和偏瘫功能评定(Brunnstrom分级),其中上肢肌力平均由2.31级提高到4.38级,下肢肌力平均由2.44级提高到4.63级,经统计学处理P<0.01有显著差异。Brunnstrom分级P<0.01也有显著差异。实用动作方面以ADL(日常生活能力)效果评定,患者的功能由康复前6.25分上升到15分,经统计学处理也有显著差异。从恢复效果来看,的确令人满意,说明发病后及早应用神经肌肉促进技术是很重要的。

This article is a report on comprehensive rehabilitative therapy for 50 cas- es of cerebral apoplexy—hemiplegia with medicine,physiotherapy,acupuncture,chinese massage,traditional chinese medicine and functional training,It will serve to make effect ob- servation and functional assessment.Fact proves that functions of cerebral apoplexy—hemi- plegia patients have in varying degrees improved after 3 months of comprehensive rehabilita- tive therapy.The effect assessment has been done in two aspects—in kinematics and practi- cal actions.In kinematics,assessment is made with muscular strength and hemiplegia func- tion(Brunnstrom grade)in which muscular strength of arms raised from 2.31 to 4.38 degree in average and muscular strength of legs raised from 2.44 to 4.63 degree in average.Accord- ing to statistic process,p<0.01,there is a remarkable difference.Brunnstrom grade p<0.01, there is a remarkable difference,too.In practical actions,assessment is made with ADL(abili- ty of daily life).Functions of the patients have been improved from 6.25 marks before reha- bilitation to 15 marks.According to statistic process,there is also a remarkable difference. Judged by rehabilitation effects,it makes the people really satisfied and also shows that it is very important to apply neuromuscular facilitation techniques as early as possible after the disease occurred.