痉挛对脑卒中恢复期患者神经功能及ADL能力影响

Spasticity Effects on Neural Function and Ability of Daily Living in Stroke Patients

目的:动态观察肢体痉挛对神经功能及日常生活能力的影响。方法:回顾性观察2013年3月-2014年6月本科住院患者584例,分别在病程1、3及6个月时行痉挛MAS评定、NIHSS评定及ADL评定患者的肌张力、神经功能及日常生活自理能力。结果:病程1、3及6个月时,无痉挛与有痉挛患者、轻度痉挛与中重度痉挛患者NIHSS评分、Bathel指数比较,差异均有统计学意义(P<0.05)。结论:肢体痉挛对脑卒中患者病程1、3及6个月神经功能及日常生活自理能力均有负面影响,痉挛越重,神经功能及ADL能力越差。

Objective： To observe spasticity influence on neural function and ability of daily living in stroke patients. Method： To retrospectively observe, from March 2013 to June 2014, 584 inpatients in our department, and evaluate respectively, in the course of 1 month, 3 months and 6 months, spasticity MAS assessment, NIHSS assessment, and Barthel for ADL in patients with spastic muscle tension and neural function and ability of daily living. Result： At the course of I month, 3 months and 6 months, result of NIHSS assessment and Barthel between spasticity and without spasticity patients, moderate and severe spasticity patients showed that there was significant difference （ P〈0.05 ） . Conclusion： Spasficity in stroke patients with 1 month, 3 months and 6 months have a negative impact on neural function and ability of daily living, more severe spasticity, neural function and ability of daily living is poor.