文章摘要
王秀坤 黄旭明 石艺华 廖迪 鲍赛荣.综合康复对卒中偏瘫患者功能恢复的影响[J].实用中西医结合临床,2012,(2):55-56
综合康复对卒中偏瘫患者功能恢复的影响
  
DOI:
中文关键词: 综合康复  脑卒中  偏瘫
英文关键词: Comprehensive rehabilitation  Stroke  Hemiplegia
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作者单位
王秀坤 黄旭明 石艺华 廖迪 鲍赛荣 广东药学院附属第一医院 
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中文摘要:
      目的:探讨综合康复治疗对脑卒中偏瘫患者功能恢复的影响。方法:选择偏瘫患者79例,随机分为综合康复组(治疗组,n=40)和单纯运动疗法组(对照组,n=39)。两组除均进行常规药物治疗外,治疗组进行运动疗法、作业、理疗、言语、认知、心理干预等综合康复治疗,对照组进行单纯运动疗法康复治疗。分别于治疗前、治疗1个月后用Fugl-Meyer评定运动功能,用Barthel 评定日常生活活动能力,比较两组评分差异。结果:治疗前两组Fugl-Meyer及Barthel评分差异无显著性(P >0.05)。治疗1个月后两组运动功能和日常生活活动能力都得到了不同程度地改善,综合康复组Fugl-Meyer及Barthel评分优于对照组,有显著性差异(P < 0.05)。结论:综合康复对卒中后偏瘫功能恢复优于单纯运动疗法。
英文摘要:
      Objective:To investigate effectiveness of comprehensive rehabilitation on stroke patient with hemiplegia. Methods:79 Cases of hemiplegia were divided into comprehensive rehabilitation treatment group (n=40) and pure ergotherapy group (control group, n=39) randomly.In addition to conventional drug therapy,comprehensive rehabilitation including ergotherapy, assignment,physical therapy,speech,cognition and psychological intervention were given to the patients in treatment group and ergotherapy was given to the patients in control group. Fugl-Meyer assessment of motor function and Barthel assessment of ability in daily activities were performed before treating and one month later after treatment. Differences of two groups were detected.Results:There was no significant difference (P >0.05) in Fugl-Meyer and Barthel scores between two groups before treatment. One month later after treatment,different progress in motor function and ability in daily activities were made in both group patients.There were significant differences (P <0.05) in Fugl-Meyer and Barthel scores between two groups,and scores for treatment group was superior to control group.Conclusion:Comprehensive rehabilitation is more effective than pure ergotherapy to recovery function for hemiplegia patients after stroke.
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