中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
3期
2-3
,共2页
张泽%王毅蓉%李建岗%彭艳丽
張澤%王毅蓉%李建崗%彭豔麗
장택%왕의용%리건강%팽염려
肩关节半脱位%康复治疗%结果评价
肩關節半脫位%康複治療%結果評價
견관절반탈위%강복치료%결과평개
Glenohumeral?subluxation%Rehabilitation%Outcome?assessment
目的?观察综合康复治疗对脑卒中后肩关节半脱位的疗效.方法?采用综合康复治疗36例脑卒中后肩关节半脱位患者,治疗方法包括正良姿位摆放、主动及被动运动、半导体激光照射治疗、低频治疗、熏蒸、肩吊带及药物治疗等.治疗4周.治疗前、后采用Fugl-Meyer量表和目测类比评分法(visual?analogue?scale,VAS)对患肩关节的活动功能、患侧上肢运动功能和疼痛进行评定.结果?36例患者经过为期4周的综合康复治疗后,其病情均有明显改善,显效24例(66.67%),有效10例(27.78%),无效2例(5.55%).治疗后患侧肩关节活动功能、疼痛和患侧上肢运动功能均较治疗前有明显改善(均P<0.05).结论?综合康复治疗对脑卒中后肩关节半脱位患者具有良好疗效.
目的?觀察綜閤康複治療對腦卒中後肩關節半脫位的療效.方法?採用綜閤康複治療36例腦卒中後肩關節半脫位患者,治療方法包括正良姿位襬放、主動及被動運動、半導體激光照射治療、低頻治療、熏蒸、肩弔帶及藥物治療等.治療4週.治療前、後採用Fugl-Meyer量錶和目測類比評分法(visual?analogue?scale,VAS)對患肩關節的活動功能、患側上肢運動功能和疼痛進行評定.結果?36例患者經過為期4週的綜閤康複治療後,其病情均有明顯改善,顯效24例(66.67%),有效10例(27.78%),無效2例(5.55%).治療後患側肩關節活動功能、疼痛和患側上肢運動功能均較治療前有明顯改善(均P<0.05).結論?綜閤康複治療對腦卒中後肩關節半脫位患者具有良好療效.
목적?관찰종합강복치료대뇌졸중후견관절반탈위적료효.방법?채용종합강복치료36례뇌졸중후견관절반탈위환자,치료방법포괄정량자위파방、주동급피동운동、반도체격광조사치료、저빈치료、훈증、견조대급약물치료등.치료4주.치료전、후채용Fugl-Meyer량표화목측류비평분법(visual?analogue?scale,VAS)대환견관절적활동공능、환측상지운동공능화동통진행평정.결과?36례환자경과위기4주적종합강복치료후,기병정균유명현개선,현효24례(66.67%),유효10례(27.78%),무효2례(5.55%).치료후환측견관절활동공능、동통화환측상지운동공능균교치료전유명현개선(균P<0.05).결론?종합강복치료대뇌졸중후견관절반탈위환자구유량호료효.
Objective?To study the effects of integrated rehabilitation treatment on patients with glenohumeral subluxation after stroke. Methods?Sixty?patients with glenohumeral subluxation after stroke were treated with integrated rehabilitation`intervention. The treatment methods included proper position, active?and?passive?movement,?semiconductor?laser?therapy,?low?frequency?electrotherapy,?steamer,shoulder?suspenders?and?medicine,?et?al.?The?therapeutic?course was for 4 weeks. The motor function of shoulder and upper limb, the degree of pain were assessed with Fugl-Meyer and Visual Analogue Scale(VAS). Results?After therapy,the state of illness were ameliorated significantly,the superior effective rate was 66.67%,and effective rate was 27.78%,failed rate was 5.55%.The motor function of shoulder and upper limb, the degree of pain were improved markedly(P<0.05).Conclusion?Integrated?rehabilitation?treatment?has preferable effects on glenohumeral subluxation after stroke.