摘要
目的:根据运动功能评估量表评测法自行设计了运动功能评价量表,观察其对偏瘫患者康复过程中各指标的评估作用。方法:选择2002-11/2004-06在解放军第三○六医院理疗科进行康复的脑卒中偏瘫患者50例,年龄40～81岁。其中脑梗死患者42例,脑出血患者8例;首次脑卒中患者41例,再次脑卒中患者9例;无糖尿病史者32例,合并糖尿病患者18例。接受康复治疗最早为发病后1d,最晚为发病后45d。采用包括头部磁疗(清华德人脑病生理治疗机)、针灸和电针、运动再学习法和偏瘫肢体促通技术等综合康复治疗,1次/d,40～60min/次,治疗10～35次,平均16.7次。治疗前后应用运动功能评价量表(8项总分为48分,分值高为优,低为差)评价脑卒中偏瘫患者康复治疗前后运动功能改善情况,不同年龄段(以10岁为一个年龄段分为5个组)、接受康复治疗不同开始时间(以10d为1个组分为5组)、康复疗程(分为≤10次,11～20次,≥20次)、合并糖尿病、初发和复发脑梗死和脑出血对疗效的影响。结果:按意向处理分析,50例患者均进入结果分析。①脑卒中偏瘫患者康复治疗前后运动功能评价量表评分比较:康复治疗后平均分显著高于治疗前(34.76±9.87),(18.96±11.29)分,(t=7.45,P<0.001)。②不同年龄段患者的康复治疗后运动功能评价量表评分比较:除≥75岁疗效较差外,35～44,45～54,55～64,65～74岁评分相近(35.5±6.83,33.5±10.09,35.8±9.61,36.6±9.45)分,P>0.05。③接受康复治疗起始时间不同运动功能评价量表评分:0～9d为(31.73±11.89)分,10～19d为(37.27±8.00)分,20～29d为(35.66±12.59)分,30～39d为(28.33±7.50)分,≥40d为(35.75±6.75)分,各组之间评分差别无显著性(F=1.05,P=0.3905)。④接受康复疗程不同治疗运动功能评价量表评分比较:25例≤10次,16例11～20次,9例≥20次,经方差分析认为各组之间不全相同(38.08±9.16,32.37±9.57,29.77±9.98)分(F=3.31,P=0.0452)。⑤首�
AIM:To observe the effect of selfdesigned functional evaluation scale based on the motor functional assessment scale on the evaluation of the rehabilitation in poststroke hemiplegic patients.METHODS:A total of 50 poststroke hemiplegic patients,40-81 years of age, treated in the Department of Physioltherapy of the 306 Hospital of Chinese PLA from November 2002 to June 2004 were selected. Among them,42 cases were cerebral infarction patients,8 were cerebral hemorrhage patients; 41 were first stroke patients and 9 were second stroke;32 cases admitted no diabetes mellitus and the other 18 were also diabetes mellitus patients.The earliest time of rehabilitative treatment was at first day after onset,and the latest was at 45 days.The rehabilitative treatment contained head magnet therapy, acupuncture and moxibustion,electroacupuncture, motor relearning program and facilitation technique of hemiplegic limbs, for 40-60 minutes once per day for 10-35 times,the average was 16.7 times.The motor function of hemiplegic patients before and after rehabilitative treatment was evaluated by using motor functional evaluation scale(total score was 48,high scores were considered as good rehabilitation, low scores were as bad rehabilitation),the effect of different age(grouping into five groups according to age stage of 10 years),different times for receiving treatment(grouping into five groups with 10 days),rehabilitative course(≤10,11-20, ≥20 times),diabetes mellitus,first and second cerebral infarction and cerebral hemorrhage on therapeutic efficacy was also evaluated. RESULTS:According to intentiontotreat,all 50 patients were involved in the result analysis.①The mean scores on motor function in poststroke hemiplegic patients after treatment were significantly higher than that before treatment(34.76±9.87,18.96±11.29,t=7.45, P< 0.001).②The scores on motor function after treatment were similar among 35-44,45-54,55-64 and 65-74 years of age patients(35.5±6.83,33.5±10.09,35.8±9.61,36.6±9.45,P >0.05),b
出处
《中国临床康复》
CSCD
北大核心
2005年第21期6-7,共2页
Chinese Journal of Clinical Rehabilitation
