《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (10): 897-898.

• 临床研究 • 上一篇    下一篇

作业疗法对脑卒中患者上肢功能及并发症的疗效观察

由丽; 邵伟波   

  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:2006-03-13 出版日期:2006-10-01 发布日期:2006-10-01

Effect of Occupational Therapy on the Function of Upper Limbs and Complications in Stroke Patients

YOU Li, SHAO Wei-bo   

  1. The Department of Rehabilitation Medicine, Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu,China
  • Received:2006-03-13 Published:2006-10-01 Online:2006-10-01

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被引次数

67

摘要： 目的观察作业疗法对脑卒中偏瘫患者上肢功能的康复疗效。方法99例脑卒中偏瘫患者随机分为作业组52例,采用包括作业疗法的综合康复训练治疗;对照组47例,采用无作业治疗的其他康复治疗,在治疗前及治疗2个月后对两组患者分别进行Fugl-Meyer上肢运动功能及偏瘫手功能实用能力评定,并对两组患者并发症的发生情况进行比较。结果治疗后,作业组患者的上肢运动功能和手功能实用能力优于对照组(P<0.05),并发症明显少于对照组(P<0.01)。结论作业疗法可以提高偏瘫患者的上肢功能及手的实用性,减少并发症。

关键词: 作业疗法, 上肢, 运动功能

Abstract: ObjectiveTo observe the clinical effect of occupational therapy (OT) on the function of upper limbs and complications in stroke patients with hemiplegia.Methods99 stroke patients were randomly divided into the OT group (52 cases treated with OT and routine rehabilitation) and control group (47 cases treated without OT). Fugl-Meyer Assessment (FMA) and evaluation of hand function were performed before and two months after treatment. The complications of patients in two groups were also compared.ResultsAfter treatment, the functions of upper limbs and hand of patients in the OT group were superior to those in the control group ( P<0.05). The numbers of cases with complications in the OT group were significantly less than that in the control group ( P <0.01).ConclusionOT can improve the functions of upper limbs and hand and abate complications in stroke patients.

Key words: occupational therapy, upper limbs, motor function