《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (11): 682-683.

• 临床康复 • 上一篇    下一篇

家庭成员辅助干预对急性脑梗死患者运动功能障碍康复的影响

邵伟波; 饶江; 李家红; 孙美红   

  1. 南京医科大学附属脑科医院康复医学科 江苏南京市 210029
  • 收稿日期:2003-04-06 出版日期:2003-11-25 发布日期:2003-11-25

Effect of family members' intervention on rehabilitation of motor dysfunction after acute cerebral infarction

SHAO Wei-bo, RAO Jiang, LI Jia-hong, et al   

  1. Brain Hospital Affiliated to Nanjing Medical University, Nanjing 210029, Jiangsu,China
  • Received:2003-04-06 Published:2003-11-25 Online:2003-11-25

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摘要： 目的探讨家庭成员辅助干预对急性脑梗死所致偏瘫患者运动功能障碍康复的影响。方法选择60例急性脑梗死偏瘫患者,随机分成观察组和对照组(每组30例),在常规药物和康复治疗的同时,观察组实施家庭成员辅助干预康复训练,通过治疗前后Fugl-Meyer运动评分(FMA)、修订的Barthel指数(MBI)评分的变化对两组患者功能康复进行评价。结果8周后两组患者的FMA、MBI评分均较前有明显提高(P<0.001),观察组更优于对照组(P<0.05)。结论在急性脑梗死患者康复治疗中家庭成员积极合理辅助干预对偏瘫运动功能康复、尤其是日常生活活动能力的提高起到促进作用。

关键词: 急性脑梗死, 家庭康复, 运动功能

Abstract: ObjectiveTo explore the effect of the intervention by the family members on the rehabilitation of dysfunction of the patients with hemiplegia after acute cerebral infarction.MethodsSixty patients of hemiplegia caused by acute cerebral infarction were randomly divided into two groups, observing group and control group(30 patients for eaeh group).Patients in the observing group received family members' intervention in addition to the regular drug and rehabilitation treatment,which was used in control group only.The change of scores of Fugl-Meyer Assessment(FMA) and Modified Barthel Index(MBI) before and after treatment was evaluated respectively.ResultsThe scores of FMA and MBI in both groups rose very significantly eight weeks after treatment(P<0.001). But the scores of the obersevertion group were higher than that of the control group(P<0.05).ConclusionProper intervention by the family members plays an important role in enhancing the rehabilitation of acute cerebral infarction dysfunction and developing the patiennts' ability to take care of themselves in daily life.

Key words: acute cerebral infarction, family rehabilitation, motor function