量化康复训练在脑卒中后肩手综合征患者中的应用效果

Application Effect of Quantitative Rehabilitation Training in Patients with Shoulder-Hand Syndrome after Stroke

目的分析量化康复训练在脑卒中后肩手综合征患者中的应用效果。方法选择2020年1—8月在该院接受治疗的64例脑卒中后肩手综合征患者为研究对象,根据系统随机抽样法分成对照组和观察组,每组32例。对照组接受常规康复训练,观察组接受量化康复训练。评估两组患者干预前后的日常生活能力与运动功能,对比两组临床治疗效果。结果观察组干预前的日常生活活动能力(ADL)评分(50.83±3.40)分与Fugl-Meyer运动功能(FMA)评分(34.19±3.24)分与对照组的(50.93±3.42)分、(34.26±3.27)分比较,组间差异无统计学意义(P>0.05);经干预,对照组ADL评分(60.34±4.12)分、FMA评分(46.45±4.02)分均低于观察组的(72.37±5.01)分、(54.68±3.64)分,组间差异有统计学意义(P<0.05)。观察组临床治疗总有效率为96.88%(31/32),显著高于对照组的78.13%(25/32),差异有统计学意义(P<0.05)。结论量化康复训练在脑卒中后肩手综合征患者中的应用效果明显,可有效改善患者的日常生活活动能力与运动功能,提高治疗效果,值得在临床中推广应用。

Objective To analyze the effect of quantitative rehabilitation training in patients with shoulder-hand syndrome after stroke.Methods 64 patients with shoulder-hand syndrome after stroke who were treated in this hospital from January to August 2020 were selected as the research objects,according to the systematic random sampling method,they were divided into a control group and an observation group,with 32 cases in each group.The control group received routine rehabilitation training,and the observation group received quantitative rehabilitation training.The daily living ability and motor function of the two groups of patients before and after the intervention were evaluated,and the clinical treatment effects of the two groups were compared.Results The activity of daily living(ADL)score(50.83±3.40)points and Fugl-Meyer assessment(FMA)score(34.19±3.24)points of the observation group before intervention were compared with(50.93±3.42)points and(34.26±3.27)points of the control group,there were no statistically significant differences between the groups(P>0.05);after intervention,the ADL score(60.34±4.12)points and FMA score(46.45±4.02)points of the control group were lower than(72.37±5.01)points and(54.68±3.64)points of the observation group,the differences between the groups were statistically significant(P<0.05).The total effective rate of clinical treatment in the observation group was 96.88%(31/32),which was significantly higher than 78.13%(25/32)in the control group,and the difference was statistically significant(P<0.05).Conclusion Quantitative rehabilitation training has obvious application effects in patients with shoulder-hand syndrome after stroke.It can effectively improve the patients'activities of daily living and motor function,and improve the treatment effect.It is worthy of clinical application.