医学综述
醫學綜述
의학종술
Medical Recapitulate
2015年
20期
3811-3813
,共3页
卒中%偏瘫%三级康复%关节活动度%肢体运动功能
卒中%偏癱%三級康複%關節活動度%肢體運動功能
졸중%편탄%삼급강복%관절활동도%지체운동공능
Stroke%Hemiplegia%Three stages′rehabilitation program%Joint motion%Limb motor function
目的:探讨规范三级康复治疗对卒中后遗症期偏瘫患者关节活动度和下肢运动功能的影响。方法将2011年11月至2013年11月聊城市东昌府人民医院收治的60例脑卒中偏瘫患者按照随机数字表法分为观察组和对照组,各30例。对照组给予常规康复训练,观察组实施规范三级康复治疗。6个月后评价两组患者关节活动度、肢体运动功能和生活质量。结果6个月后两组患者髋关节、膝关节活动度均显著提高,其中观察组髋关节、膝关节活动度显著高于对照组[(15.4±3.6)°比(12.3±2.4)°、(26.6±3.5)°比(22.0±3.5)°,P<0.01];观察组上肢简式运动功能评分量表(FAM)评分、下肢FAM评分及独立性检测量表(FIM)评分亦显著高于对照组[(26±8)比(22±7)、(27±7)比(22±8)、(58±10)比(44±12),P<0.05或P<0.01]。6个月后观察组患者角色功能、社会功能、身体功能、情绪功能以及总生活质量评分均显著高于对照组[(1.6±0.4)比(0.9±0.4)、(1.07±0.41)比(0.79±0.27)、(1.87±0.21)比(1.55±0.18)、(1.8±0.5)比(1.0±0.3)、(5.0±1.2)比(4.0±1.1),P<0.01]。结论规范三级康复能改善脑卒中偏瘫患者髋关节、膝关节活动度,促进患侧肢体运动功能恢复,提高患者生活质量。
目的:探討規範三級康複治療對卒中後遺癥期偏癱患者關節活動度和下肢運動功能的影響。方法將2011年11月至2013年11月聊城市東昌府人民醫院收治的60例腦卒中偏癱患者按照隨機數字錶法分為觀察組和對照組,各30例。對照組給予常規康複訓練,觀察組實施規範三級康複治療。6箇月後評價兩組患者關節活動度、肢體運動功能和生活質量。結果6箇月後兩組患者髖關節、膝關節活動度均顯著提高,其中觀察組髖關節、膝關節活動度顯著高于對照組[(15.4±3.6)°比(12.3±2.4)°、(26.6±3.5)°比(22.0±3.5)°,P<0.01];觀察組上肢簡式運動功能評分量錶(FAM)評分、下肢FAM評分及獨立性檢測量錶(FIM)評分亦顯著高于對照組[(26±8)比(22±7)、(27±7)比(22±8)、(58±10)比(44±12),P<0.05或P<0.01]。6箇月後觀察組患者角色功能、社會功能、身體功能、情緒功能以及總生活質量評分均顯著高于對照組[(1.6±0.4)比(0.9±0.4)、(1.07±0.41)比(0.79±0.27)、(1.87±0.21)比(1.55±0.18)、(1.8±0.5)比(1.0±0.3)、(5.0±1.2)比(4.0±1.1),P<0.01]。結論規範三級康複能改善腦卒中偏癱患者髖關節、膝關節活動度,促進患側肢體運動功能恢複,提高患者生活質量。
목적:탐토규범삼급강복치료대졸중후유증기편탄환자관절활동도화하지운동공능적영향。방법장2011년11월지2013년11월료성시동창부인민의원수치적60례뇌졸중편탄환자안조수궤수자표법분위관찰조화대조조,각30례。대조조급여상규강복훈련,관찰조실시규범삼급강복치료。6개월후평개량조환자관절활동도、지체운동공능화생활질량。결과6개월후량조환자관관절、슬관절활동도균현저제고,기중관찰조관관절、슬관절활동도현저고우대조조[(15.4±3.6)°비(12.3±2.4)°、(26.6±3.5)°비(22.0±3.5)°,P<0.01];관찰조상지간식운동공능평분량표(FAM)평분、하지FAM평분급독립성검측량표(FIM)평분역현저고우대조조[(26±8)비(22±7)、(27±7)비(22±8)、(58±10)비(44±12),P<0.05혹P<0.01]。6개월후관찰조환자각색공능、사회공능、신체공능、정서공능이급총생활질량평분균현저고우대조조[(1.6±0.4)비(0.9±0.4)、(1.07±0.41)비(0.79±0.27)、(1.87±0.21)비(1.55±0.18)、(1.8±0.5)비(1.0±0.3)、(5.0±1.2)비(4.0±1.1),P<0.01]。결론규범삼급강복능개선뇌졸중편탄환자관관절、슬관절활동도,촉진환측지체운동공능회복,제고환자생활질량。
Objective To explore the effect of three stages′rehabilitation program on the joint motion and motor function in stroke patients with hemiplegia.Methods A total of 60 stroke patients with hemiple-gia admitted to Dongchangfu People′s Hospital from Nov.2011 to Nov.2013 were randomly divided into ob-servation group of 30 cases and control group of 30 cases:the control group was given conventional rehabilita-tion training,and theobservation group received three stages′rehabilitation program.After 6 months of reha-bilitation therapy,the joint activities,limb motor function and quality of life of the two groups were compared. Results After rehabilitation,the hip,knee joint activity of both groups increased,while the observation group′s performance was significantly higher than the control group[(15.4 ±3.6) vs (12.3 ±2.4),(26.6 ±3.5) vs (22.0 ±3.5),P <0.01];upper limb FAM score,lower limb FAM score,FIM score of the observation group were significantly higher than the control group[(26 ±8) vs (22 ±7),(27 ±7) vs (22 ±8),(58 ± 10) vs (44 ±12),P<0.05 or P<0.01].After the rehabilitation,the role function,social function,physical function,emotional function and the total score of life quality of the observation group were significantly high-er than that of the control group[(1.6 ±0.4) vs (0.9 ±0.4),(1.07 ±0.41) vs (0.79 ±0.27),(1.87 ± 0.21) vs (1.55 ±0.18),(1.8 ±0.5) vs (1.0 ±0.3),(5.0 ±1.2) vs (4.0 ±1.1),P <0.01].Con-clusion Three stages′rehabilitation program can improve hip,knee joint activities,promotion body function restoration of the stroke hemiplegia patients,thus improve patients′life quality.