摘要
目的观察早期康复治疗改善脑卒中致偏瘫患者上肢肌痉挛的疗效。方法选择2008年1月~2009年12月我院神经内科住院治疗的脑卒中偏瘫患者126例,分为治疗组和对照组各63例,两组患者均给予常规脑组织保护治疗及物理治疗(电蜡疗+气压式循环驱动治疗仪),治疗组患者另外每天接受以抗痉挛技术为主的康复训练,采用改良Ashworth量表(MAS)、Fugl-Meyer运动功能积分法(FMA)、改良巴氏指数(Modified Barthel Index,MBI)对临床康复效果进行评定。结果经过综合康复治疗6个月,治疗组MAS、FMA评分均明显优于对照组。结论早期康复治疗可以有效改善脑卒中偏瘫患者的上肢肌痉挛,而且较为持久的功能训练有助于进一步改善痉挛上肢的功能。
Objective To observe the effect of early rehabilitation on hemiplegic patients’ spasticity of upper limb. Methods 126 hemiplegic patients were divided into treatment group (63 cases) and control group (63 cases). Patients in the treatment group were given clinical treatment, physical treatment and regular rehabilitation training with anti-spasm skills mainly, while those in the control group were given clinical treatment and physical treatment. The two groups were evaluated with Modified Ashworth (MAS), Fugl-Meyer (FMA) and Modified Barthel Index (MBI). Results In the two groups after six months treatment, the scores in the treatment group were obviously superior to those in the control group (P<0.05). Conclusion Early rehabilitation is an effective approach which could improve muscle spasticity of upper limb. The hemiplegic upper limb function in stroke patients also is improved by a long-term comprehensive rehabilitation therapy.
出处
《中国现代医药杂志》
2010年第7期40-42,共3页
Modern Medicine Journal of China
关键词
脑卒中
偏瘫
上肢肌痉挛
康复
Stroke Hemiplegic Spasticity of upper limb Rehabilitation
