《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (11): 1013-1015.

• 论文 • 上一篇    下一篇

康复卒中单元对脑卒中肩手综合征的疗效观察

代新年，单守勤，陈庆华，蔡鸣，梁涛，王丹，闫玮娟   

  1. 济南军区青岛第二疗养院全军神经疾病诊疗康复中心，山东青岛市266071。
  • 收稿日期:2012-04-26 修回日期:2012-10-10 出版日期:2012-11-25 发布日期:2012-11-25
  • 通讯作者: 陈庆华

Effects of Rehabilitation Stroke Unit on Shoulder-hand Syndrome Post Stroke

DAI Xin-nian, SHAN Shou-qin, CHEN Qing-hua, et al   

  1. Jinan Military Region Qingdao Second Sanatorium, Nerve Rehabilitation Center of PLA, Qingdao 266071, Shandong, China
  • Received:2012-04-26 Revised:2012-10-10 Published:2012-11-25 Online:2012-11-25

PDF (PC)

被引次数

30

摘要： 目的探讨康复卒中单元对脑卒中肩手综合征的疗效。方法90 例脑卒中后并发肩手综合征的患者分为康复单元组(n=45)和对照组(n=45)。康复单元组纳入康复单元，按照康复方案进行治疗，对照组进行运动训练。治疗6 周后采用Brunnstrom分期上肢及手功能评定、简化Fugl-Meyer 量表(FMA)及改良Barthel 指数(MBI)评定疗效。结果治疗后两组在上肢及手功能的Brunnstrom分期、FMA评分及MBI 评分上较治疗前均有改善(P<0.05)，且康复单元组优于对照组(P<0.05)。结论康复卒中单元对脑卒中偏瘫患者上肢功能恢复有更好的疗效。

关键词: 肩手综合征, 康复卒中单元, 脑卒中, 康复训练

Abstract: Objective To investigate the effects of rehabilitation stroke unit on patients with shoulder-hand syndrome after stroke. Methods 90 stroke patients with shoulder-hand syndrome were divided into two groups: control group (45 cases) was treated with conventional treatment and experimental group (45 cases) was incorporated into the rehabilitation stroke unit. The therapeutic course was 6 weeks.Brunnstrom stage, Fugl-Meyer assessment (FMA) and modified Barthel index (MBI) were used to assess the degree of the motor function of upper limb and hand, and activities of daily living (ADL), and the total clinical efficacy were evaluated. Results The motor function of upper limb and hand and ADL improved in both groups after treatment (P<0.05), while the experimental group was significantly superior to the control group (P<0.05). Conclusion Rehabilitation stroke unit has preferable effect on shoulder-hand syndrome after stroke.

Key words: shoulder-hand syndrome, rehabilitation stroke unit, stroke, rehabilitation training