偏瘫患者手肿胀的早期康复训练疗效观察

Effect of early rehabilitation training on hemiplegia swelling hand of stroke patients

目的观察早期康复对脑卒中偏瘫患者患侧手肿胀的疗效。方法将 2 2例脑卒中偏瘫患者随机分为康复治疗组 (康复组 )和常规治疗组 (对照组 ) ,康复组在药物治疗同时进行康复训练 ,对照组进行常规药物治疗。根据患手肿胀的程度 (体积 )、掌指关节活动度及简易手功能检查 (STEF)评分评定疗效。结果康复组患者较对照组患者手肿胀的程度明显减轻 ,掌指关节活动度能较好保持 (P <0 .0 1) ,STEF量表提示上肢运动功能及日常生活活动能力较对照组有明显改善 (P <0 .0 1)。结论患侧手肿胀的早期训练对偏瘫患者上肢功能的恢复有重要意义。

ObjectiveTo observe effects of early rehabilitation training on hemiplegia swelling hand of stroke patients.Methods22 stroke patients with hemiplegia were randomly divided into rehabilitation group (treatment group) and conventional medicine treatment group (control group). Patients in the treatment group got rehabilitation training while took routine medicine, and patients in the control group just took routine medicine. Efficacy was evaluated by measuring volume, joint movement of swelling hand and by STEF scores.ResultsCompared with control group, the volume of hemiplegia swelling hand reduced significantly, finger palm joint kept better activity in treatment group. STEF scores indicated that movement function of upper limb and daily living of patients in treatment group were markedly improved ( P<0.01).ConclusionEarly rehabilitation of hemiplegia swelling hand is very important for limb recovery of hemiplegia patients. [