《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (4): 365-367.

• 临床研究 • 上一篇    下一篇

康复训练结合心理康复对脑卒中偏瘫患者上肢运动功能的影响

王东升1，梅蕊1，朱红华2   

  1. 1.中国核工业北京401 医院神经内科，北京市 102413；2.珠海市卫生学校康复医学教研室，广东珠海市 519020
  • 收稿日期:2012-11-01 修回日期:1900-01-01 出版日期:2013-04-25 发布日期:2013-04-25

Effects of Exercise with Psychological Rehabilitation on Motor Function of Upper Limbs for Stroke Patients with Hemiplegia

WANG Dong-sheng, MEI Rui, ZHU Hong-hua   

  1. Department of Neurology, Beijing No.401 Hospital of China Nuclear Industry, Beijing 102413, China
  • Received:2012-11-01 Revised:1900-01-01 Published:2013-04-25 Online:2013-04-25

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摘要： 目的探讨作业疗法结合心理康复对偏瘫患者上肢运动功能及日常生活活动能力的影响。方法34 例偏瘫患者分成治疗组(n=17)和对照组(n=17)，均实施常规康复训练及药物治疗，治疗组另加系统化心理康复。治疗前后，分别采用Fugl-Meyer 评定法(FMA)、Barthel 指数(BI)评定患者的上肢运动功能及日常生活活动能力。结果治疗后，两组患者FMA评分、BI 评分均较治疗前显著改善(P<0.001)，治疗组疗效显著优于对照组(P<0.001)。结论作业疗法结合心理康复能有效改善脑卒中偏瘫患者的上肢运动功能和日常生活活动能力。

关键词: 作业疗法, 心理康复, 脑卒中, 偏瘫, 上肢, 运动功能

Abstract: Objective To explore the effects of exercise with psychological rehabilitation on motor function of upper limbs for stroke patients with hemiplegia. Methods 34 stroke patients with hemiplegia were divided into treatment group (n=17) and control group (n=17). Both groups were treated with basic medication and exercise while the treatment group received psychological rehabilitation additionally. The motor function of upper limbs was evaluated with Fugl-Meyer assessment (FMA), and activities of daily living was assessed with Barthel index (BI) before and after treatment. Results After treatment, the scores of FMA and BI improved significantly in both groups (P<0.001), and was better in the treatment group than in the control group (P<0.001). Conclusion Exercise with psychological rehabilitation can effectively improve the motor function of upper limbs and activities of daily living for stroke patients with hemiplegia.

Key words: exercise, psychological rehabilitation, stroke, hemiplegia, upper limb, motor function