脑血管病偏瘫上肢的康复治疗

The rehabilitative treatment of the upper limb paralysis caused by cerebrovascular diseases

脑血管病偏瘫上肢的恢复较下肢困难,我们必须尽早开始早期康复治疗,保持肢体功能位,定期更换体位和被动运动,以预防感染、褥疮和深静脉炎;急性期过后,尽早开始功能锻炼,在康复治疗中避免新的损伤。在恢复后期,随着上肢功能的恢复,要进行精细技巧和协调的动作训练,以进一步促进肢体神经功能的恢复。实践证明:针灸、音乐电疗和温泉疗法,对脑血管病偏瘫有较好的疗效。此外还应始终坚持心理康复、理疗和对各种慢性病的治疗。

The recovery of the hemiplegic. upper limbs caused by cerebrovascular disease is more difficult than that of the hemiplegia of lower limb. We must start the early-period rehabilitation treatment as early as possible, keep the patients'limbs into their functional positions and exchange the patients' posture regularly and the passive movements so as to prevent infection, bedsore and deep-phlebitis. After the acute period, we make the patient as early as possible to do the functional trainings. But in the rehabilitation treatment, a new injurey should be avoided. In the later stage of the recovery, the patients should persist the rehabilitation treatment. Following the recovery of the functions of the upper limb, the patients should do ingernious and c(?)rdinate movement-trainings in order to promote the recoveries of the limb and nerve function. It is proved that acupuncture, musicelectrotherapy and hot-spring therapy have better curative effects to the hemilegia caused by cerebrovascular diseases. From the beginning to the end of the rehabilitation, the patients should insist on entire-body therapy, such as psychotherapy, physiotherapy and the treatment of hypertension, hyperlipemia, diabetes mellitus and so on.