综合康复治疗对36例脑卒中后肩关节半脱位的治疗效果观察

Treatment Effect Observed of Comprehensive Rehabilitation Rreatment of 36 Cases of Post-stroke Shoulder Subluxation

目的观察综合康复治疗对脑卒中后肩关节半脱位的疗效。方法采用综合康复治疗36例脑卒中后肩关节半脱位患者,治疗方法包括正良姿位摆放、主动及被动运动、半导体激光照射治疗、低频治疗、熏蒸、肩吊带及药物治疗等。治疗4周。治疗前、后采用Fugl-Meyer量表和目测类比评分法(visual analogue scale,VAS)对患肩关节的活动功能、患侧上肢运动功能和疼痛进行评定。结果 36例患者经过为期4周的综合康复治疗后,其病情均有明显改善,显效24例(66.67%),有效10例(27.78%),无效2例(5.55%)。治疗后患侧肩关节活动功能、疼痛和患侧上肢运动功能均较治疗前有明显改善(均P<0.05)。结论综合康复治疗对脑卒中后肩关节半脱位患者具有良好疗效。

Objective To study the effects of integrated rehabilitation treatment on patients with glenohumeral subluxation after stroke. Methods Sixty patients with glenohumeral subluxation after stroke were treated with integrated rehabilitation＇intervention. The treatment methods included proper position, active and passive movement, semiconductor laser therapy, low frequency electro therapy, steamer, shoulder suspenders and medicine, et al. The therapeutic course was for 4 weeks. The motor function of shoulder and upper limb, the degree of pain were assessed with Fugl-Meyer and Visual Analogue Scale（VAS）. Results After therapy, the state of illness were ameliorated significantly, the superior effective rate was 66.67%,and effective rate was 27.78%,failed rate was 5.55%.The motor function of shoulder and upper limb, the degree of pain were improved markedly（P〈0.05）.Conelusion Integrated rehabilitation treatment has preferable effects on glenohumeral subluxation after stroke.