《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (09): 871-873.

• 论文 • 上一篇    下一篇

康复卒中单元对脑卒中偏瘫患者步行能力的影响

代新年，马修堂，王杨，刘杰，胡西，梁涛，单守勤   

  1. 1.济南军区青岛第二疗养院全军神经康复中心，山东青岛市266071；2.济南军区青岛第一疗养院，山东青岛市266071。
  • 收稿日期:2013-03-25 修回日期:2013-04-12 出版日期:2013-09-25 发布日期:2013-09-25
  • 通讯作者: 单守勤

Effect of Rehabilitation Stroke Unit on Walking in Stroke Patients with Hemiplegia

DAI Xin-nian, MA Xiu-tang, WANG Yang, et al.   

  1. Nerve Rehabilitation Center of PLA, Qingdao Second Sanatorium of Jinan Military Region, Qingdao 266071, Shandong, China
  • Received:2013-03-25 Revised:2013-04-12 Published:2013-09-25 Online:2013-09-25

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摘要： 目的研究康复卒中单元对脑卒中偏瘫患者步行能力的影响。方法86 例脑卒中后步行障碍患者随机分为治疗组和对照组，每组43 例。治疗组纳入康复单元，按照康复方案进行治疗，对照组进行常规康复。治疗8 周后采用Berg 平衡量表(BBS)、10 m 最大步行速度(MWS)、简化Fugl-Meyer 量表(FMA)、改良Barthel 指数(MBI)进行评定。结果治疗前两组BBS、MWS、下肢FMA 及MBI 评分无显著性差异(P>0.05)。治疗后两组BBS、MWS、下肢FMA 及MBI 评分均较治疗前明显改善(P<0.01)，治疗组优于对照组(P<0.05)。结论康复卒中单元对脑卒中偏瘫患者恢复步行能力有更好疗效。

关键词: 康复卒中单元, 脑卒中, 康复, 步行

Abstract: Objective To investigate the effect of rehabilitation stroke unit on walking in stroke patients with hemiplegia. Methods 86 patients with walking impairment after stroke were randomly divided into control group (n=43), who accepted conventional treatment, and experimental group (n=43), who were incorporated into the rehabilitation stroke unit. They were assessed with Berg Balance Scale (BBS),10 m Maximum Walking Speed (MWS), Fugl-Meyer Assessment (FMA) and modified Barthel Index (MBI) before and 8 weeks after treatment.Results The scores of BBS, MWS, FMA and MBI improved after treatment in both groups (P<0.01), and improved more in the experimental group than in the control group (P<0.05). Conclusion Rehabilitation stroke unit is effective on walking ability in stroke patients with hemiplegia.

Key words: rehabilitation stroke unit, stroke, rehabilitation, walking