摘要
目的:观察脑卒中后上肢偏瘫患者康复治疗中应用改良镜像疗法的效果。方法:选入2021年1月至2022年1月本院治疗的78例脑卒中后上肢偏瘫患者,将使用改良镜像疗法的39例患者作为镜像组,将使用常规治疗方法的39例患者作为常规组,对比镜像组和常规组治疗前后上肢肱二头肌和肱三头肌协同收缩率、上肢运动功能评分、视觉模拟评分、日常生活能力、抑郁评分、焦虑评分。结果:治疗后患者上肢肱二头肌和肱三头肌协同收缩率镜像组为(14.53±5.31)和(24.16±8.11),比常规组的(16.91±5.11)和(31.46±8.83)低(P<0.05);治疗后患者上肢运动功能评分镜像组为(36.91±4.12)分,比常规组的(28.64±3.41)分高(P<0.05);治疗后患者视觉模拟评分镜像组(3.37±0.31)分比常规组的(2.02±0.27)分低(P<0.05);治疗后日常生活能力镜像组比常规组得分高(P<0.05);治疗后抑郁、焦虑评分镜像组(44.02±9.11)分和(42.83±10.62)分比常规组(56.53±10.28)分和(51.74±12.76)分低(P<0.05)。结论:脑卒中后上肢偏瘫患者康复治疗中应用改良镜像疗法的效果比常规治疗法好,能够提高患者上肢肱二头肌和肱三头肌协同收缩率,改善肢体运动功能,减轻疼痛,缓解患者的负面心理情绪。
Objective:To observe the effect of modified mirror image therapy in the rehabilitation of patients with hemiplegia of upper limbs after stroke.Methods:78 patients with upper limb hemiplegia after stroke treated in our hospital from January 2021 to January 2022 were selected.39 patients with improved mirror therapy were selected as the mirror group,and 39 patients with conventional therapy were selected as the conventional group.The coordinated contraction rate of biceps brachii and triceps brachii,upper limb motor function score,visual analog score,ability of daily living,depression and anxiety scores were compared between the mirror group and the conventional group before and after treatment.Results:After treatment,the co contraction rates of biceps brachii and triceps brachii in the mirror group were(14.53±5.31)and(24.16±8.11)lower than those in the conventional group(16.91±5.11)and(31.46±8.83)(P<0.05);After treatment,the upper limb motor function score of the mirror group was(36.91±4.12)higher than that of the routine group(28.64±3.41)(P<0.05);After treatment,the visual analog score of the mirror group(3.37±0.31)was lower than that of the routine group(2.02±0.27)(P<0.05);After treatment,the score of ADL mirror group was higher than that of routine group(P<0.05);After treatment,the scores of depression and anxiety in the mirror group(44.02±9.11)and(42.83±10.62)were lower than those in the routine group(56.53±10.28)and(51.74±12.76)(P<0.05).Conclusion:The effect of modified mirror image therapy in the rehabilitation of patients with upper limb hemiplegia after stroke is better than that of conventional therapy.It can improve the coordinated contraction rate of biceps brachii and triceps brachii,improve limb motor function,reduce pain and alleviate the negative psychological emotions of patients.
作者
郭永庆
解静
李娜
Guo Yongqing;Xie Jing;Li Na(Department of Rehabilitation Medicine,Feicheng Hospital of Shandong Yiyang Health Group,Feicheng Shandong,271600,China;Department of Rehabilitation Medicine,Tai'an Central Hospital Branch,Tai'an Shandong,271000,China;Department of Hyperbaric Oxygen Therapy Center,Feicheng Hospital of Shandong Yiyang Health Group,Feicheng Shandong,271600,China)
出处
《中外女性健康研究》
2023年第3期21-22,25,共3页
Women＇s Health Research
关键词
脑卒中
上肢偏瘫
改良镜像疗法
Stroke
Hemiplegia of upper limbs
Modified mirror therapy
