运用肩托治疗脑卒中后偏瘫的疗效观察

Clinical Observation on Treatment of Hemiplegia after Stroke by Shoulder Rest

目的探讨运用肩托治疗脑卒中后偏瘫的疗效。方法选择2014年1月至2016年7月我科收治的86例脑卒中患者为研究对象,随机分为治疗组和对照组,各43例。对照组进行常规康复治疗,治疗组在此基础上早期运用肩托,比较两组偏瘫肩痛发生例数并用Brunnstrom方法评定肢体功能康复效果。结果治疗组发生肩痛8例,无肩痛35例;对照组发生肩痛26例,无肩痛17例。Brunnstrom评定治疗效果,治疗组有效13例,显效30例;对照组有效34例,显效9例,两组疗级比较差异有统计学意义(P<0.05)。结论运用肩托治疗脑卒中患者,能有效减少偏瘫肩痛,促进偏瘫侧肩关节的主、被动活动,利于上肢功能恢复,促进脑卒中患者的全面康复。

Objective To investigate the clinical effect of shoulder support in the treatment of hemiplegia after stroke. Methods From January 2014 to July 2016,86 cases of stroke patients in our department were randomly divided into treatment group and control group, each with 43 cases. The control group was treated with routine rehabilitation therapy, and the treatment group was treated with additional shoulder support. The number of cases of shoulder pain in two groups was compared and Brunnstrom method was used to evaluate the rehabilitation of limb function. Results There were 8 cases with shoulder pain and 35 cases were pain free in the treatment group, while the control group had 26 cases of shoulder pain and no shoulder pain in 17 ca- ~es. The treatment effect evaluated by Brunnstrom indicated that the treatment group was effective in 13 eases, markedly effective in 30eases, the control group was effective in 34 eases,markedly effective in 9 eases. The difference between the two groups was statis- tically significant （ P 〈 0. 05 ）. Conclusion The treatment of stroke patients with shoulder support can effectively reduce the shoul- der pain of hemiplegia,promote the main and passive movement of the hemiplegic shoulder joint, help the recovery of upper limb fimetion,and promote the rehabilitation of stroke patients.