中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2014年
5期
454-456
,共3页
卒中%功能偏侧化%日常生活活动
卒中%功能偏側化%日常生活活動
졸중%공능편측화%일상생활활동
Stroke%Functional laterality%Activities of daily living
目的 在常规康复训练和针灸治疗的基础上,对比镜像疗法与常规作业训练对老年脑卒中患者偏瘫肢体功能恢复的疗效. 方法 将脑卒中后偏瘫的老年患者120例随机分为治疗组和对照组,每组患者各60例,所有患者均接受常规的康复训练和针灸治疗,同时治疗组增加镜像疗法,对照组则增加常规作业训练.比较两组患者治疗前和治疗后1个月及3个月时神经功能缺损程度(CSS)评分和日常生活活动(ADL)能力. 结果 治疗后1个月、3个月治疗组CSS评分(15.6±8.5)分、(11.6±7.2)分,ADL评分(75.3±13.9)分、(80.1±13.0)分;对照组CSS评分(16.2±5.8)分、(14.8±6.1)分,ADL评分(68.2±13.5)分、(70.5±12.9)分,除1个月时CSS评分外,差异均有统计学意义(t值分别为1.40、2.38、-3.27、-3.47,P值分别为0.166、0.019、0.001、0.001);与治疗前比较,治疗后1个月、3个月两组CSS评分和ADL评分均有改善(均P＜0.05). 结论 在常规康复训练和针灸治疗的基础上,镜像疗法比常规作业训练更能改善老年脑卒中患者3个月时的偏瘫肢体功能和生活活动能力.
目的 在常規康複訓練和針灸治療的基礎上,對比鏡像療法與常規作業訓練對老年腦卒中患者偏癱肢體功能恢複的療效. 方法 將腦卒中後偏癱的老年患者120例隨機分為治療組和對照組,每組患者各60例,所有患者均接受常規的康複訓練和針灸治療,同時治療組增加鏡像療法,對照組則增加常規作業訓練.比較兩組患者治療前和治療後1箇月及3箇月時神經功能缺損程度(CSS)評分和日常生活活動(ADL)能力. 結果 治療後1箇月、3箇月治療組CSS評分(15.6±8.5)分、(11.6±7.2)分,ADL評分(75.3±13.9)分、(80.1±13.0)分;對照組CSS評分(16.2±5.8)分、(14.8±6.1)分,ADL評分(68.2±13.5)分、(70.5±12.9)分,除1箇月時CSS評分外,差異均有統計學意義(t值分彆為1.40、2.38、-3.27、-3.47,P值分彆為0.166、0.019、0.001、0.001);與治療前比較,治療後1箇月、3箇月兩組CSS評分和ADL評分均有改善(均P＜0.05). 結論 在常規康複訓練和針灸治療的基礎上,鏡像療法比常規作業訓練更能改善老年腦卒中患者3箇月時的偏癱肢體功能和生活活動能力.
목적 재상규강복훈련화침구치료적기출상,대비경상요법여상규작업훈련대노년뇌졸중환자편탄지체공능회복적료효. 방법 장뇌졸중후편탄적노년환자120례수궤분위치료조화대조조,매조환자각60례,소유환자균접수상규적강복훈련화침구치료,동시치료조증가경상요법,대조조칙증가상규작업훈련.비교량조환자치료전화치료후1개월급3개월시신경공능결손정도(CSS)평분화일상생활활동(ADL)능력. 결과 치료후1개월、3개월치료조CSS평분(15.6±8.5)분、(11.6±7.2)분,ADL평분(75.3±13.9)분、(80.1±13.0)분;대조조CSS평분(16.2±5.8)분、(14.8±6.1)분,ADL평분(68.2±13.5)분、(70.5±12.9)분,제1개월시CSS평분외,차이균유통계학의의(t치분별위1.40、2.38、-3.27、-3.47,P치분별위0.166、0.019、0.001、0.001);여치료전비교,치료후1개월、3개월량조CSS평분화ADL평분균유개선(균P＜0.05). 결론 재상규강복훈련화침구치료적기출상,경상요법비상규작업훈련경능개선노년뇌졸중환자3개월시적편탄지체공능화생활활동능력.
Objective To compare the effect of mirror therapy (MT) supplemented by early rehabilitative intervention and acupunture therapy on recovery of hemiplegic limb function versus routine occupational training in post-stroke elderly patients.Methods Totally 120 acute-stroke elderly patients with limb paralysis were randomly divided into two groups:MT group and control group (n=60,each).All 120 patients received routine rehabilitative intervention and acupunture therapy except for 30 minutes mirror therapy daily as add-on therapy to the MT group,all patients were assessed with Chinese Stroke Scale(CSS) and the Barthel index(BI) before and after treatment 1 and 3 months.Results At the end of 1 and 3 months of treatment,CSS in the MT groups was (15.6±8.5)scores,(11.6±7.2)scores,ADL was (75.3±13.9)scores,(80.1±13.0)scores;CSS in the control group was (16.2±5.8)scores,(14.8±6.1)scores,ADL was (68.2±13.5)scores,(70.5±12.9)scores.Before treatment,CSSandADLwas (21.3±7.1)scores,(63.7±12.6)scoresin the MT group; (20.8 ± 7.6) scores,(61.7 ± 11.4) scores in the control group.There were significant differences in CSS and ADL between groups,except CSS after 1 month (t=1.40,2.38,-3.27,-3.47; P=0.166,0.019,0.001,0.001,respectively).After 3 months of treatment,CSS and ADL in the MT group had considerably outperformed those of the control group(t=2.40,-3.47,P＜0.05 or 0.01).Conclusions Mirror therapy is better than routine occupational training in improving the motor function of limbs and activities of daily living(ADL) ability 3 months after stroke,on the basis of early rehabilitative intervention and acupunture therapy.
