上肢体位干预与康复训练对脑卒中患者上肢功能的影响探讨

Effect of upper limb posture intervention and rehabilitation training on upper limb function in patients with cerebral vascular accident

目的 分析脑卒中(CVA)患者采取上肢体位干预和康复训练对其上肢功能的影响。方法 70例CVA患者,随机分为观察组和对照组,各35例。观察组采取上肢体位干预与康复训练,对照组采取常规护理。对比两组患者上肢功能[视觉模拟评分法(VAS)评分、Barthel指数(BI指数)、Fugl-Meyer运动量表(FMA)评分]、肩关节活动度及并发症发生情况。结果 治疗前,两组VAS评分、BI指数及FMA评分对比,差异无统计学意义(P>0.05);治疗后,观察组VAS评分(2.82±1.41)分低于对照组的(5.30±1.67)分, BI指数(71.91±6.70)分及FMA评分(43.14±11.33)分均高于对照组的(52.40±6.15)、(19.45±10.71)分,差异具有统计学意义(P<0.05)。治疗前,两组前屈、外展、外旋度对比,差异无统计学意义(P>0.05);治疗后,观察组前屈度(142.61±14.81)°、外展度(147.80±13.61)°、外旋度(69.32±8.37)°均大于对照组的(114.72±15.05)、(109.26±14.10)、(52.23±8.70)°,差异具有统计学意义(P<0.05)。观察组并发症发生率22.86%低于对照组的45.71%,差异具有统计学意义(P<0.05)。结论 对CVA患者采取上肢体位干预与康复训练可显著改善其上肢功能,减少并发症发生率,值得临床推广。

Objective To analyze the effect of upper limb posture intervention and rehabilitation training on upper limb function in patients with cerebral vascular accident(CVA).Methods 70 patients with CVA were randomly divided into an observation group and a control group,with 35 cases in each group.The observation group took upper limb position intervention and rehabilitation training,and the control group took routine nursing.The upper limb function[visual analogue scale(VAS)score,Barthel Index(BI),Fugel-Meyer Assessment Scale(FMA)score],shoulder range of motion and complications were compared between the two groups.Results Before treatment,there was no statistically significant difference in VAS score,BI index and FMA score between the two groups(P>0.05).After treatment,VAS score of(2.82±1.41)points in the observation group was lower than that of(5.30±1.67)points in the control group;BI score of(71.91±6.70)points and FMA score of(43.14±11.33)points in the observation group were higher than those of(52.40±6.15)and(19.45±10.71)points in the control group;the differences were statistically significant(P<0.05).Before treatment,there was no statistically significant difference in flexion,abduction and external rotation between the two groups(P>0.05).After treatment,the observation group had anterior flexion of(142.61±14.81)°,abduction of(147.80±13.61)°and external rotation of(69.32±8.37)°,which were higher than those of(114.72±15.05),(109.26±14.10)and(52.23±8.70)°in the control group.The differences were statistically significant(P<0.05).The incidence of complications in the observation group was 22.86%,which was lower than that of 45.71%in the control group,and the difference was statistically significant(P<0.05).Conclusion The upper limb position intervention and rehabilitation training for CVA patients can significantly improve their upper limb function and reduce the incidence of complications.It is worthy of clinical promotion.