良肢位摆放在预防脑卒中后肩手综合征中的应用效果观察

Application effect of good limb position in the prevention of shoulder-hand syndrome after stroke

目的观察良肢位摆放对预防脑卒中后肩手综合征的应用效果。方法将120例脑卒中偏瘫患者随机分为观察组和对照组,每组60例,对照组给予常规治疗及护理,观察组在对照组的基础上给予良肢位摆放。干预3个月后,比较两组肩手综合征的发生率、上肢运动功能及日常生活活动能力的差异。结果干预后,对照组有33例(55.0%)发生肩手综合征,观察组有13例(21.7%),两组比较差异有统计学意义(P<0.01);观察组疼痛、水肿及关节活动度的积分均明显低于对照组(P<0.01),Fugl-Meyer积分和Bathel指数均明显高于对照组(P<0.01)。结论良肢位摆放能降低脑卒中后肩手综合征的发生率,可提高患侧上肢功能及日常生活活动能力,值得临床推广。

Objective To observation the application effect of good limb position in the prevention of shoulder-hand syndrome after stroke. Methods 120 cases with stroke hemiplegia were randomly divided into Observation Group and Control Group, 60 cases in each group. Control Group received conventional treatment while Observation Group was given good limb position based on the treatment for Control Group. After 3 months of intervention, The Fugl-Meyer motor function score （FMA） was used to evaluate the upper limb motor function, Bathel index （BI） was used to evaluate the ability of daily living, and the incidence of shoulder-hand syndrome was compared between the two groups. Results After intervention, 33 cases （55.0%） in Control Group and 13 cases （21.7%） in Observation Group had shoulder-hand syndrome, and the difference was statistically significant （P〈0.01）. Observation Group had the scores of pain, edema and joint activity lower than Control Group （P〈0.01）, and had FMA and BI scores higher than Control Group （P〈0.01）. Conclusion Good limb position can reduce the incidence of shoulder-hand syndrome after stroke and improve ipsilateral upper limb function, which is worthy of clinical promotion.