《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (3): 270-272.

• 论文 • 上一篇    下一篇

康复教育改善脑卒中后上肢运动功能的临床效果

吕政，李春磊，张宁，张锦明   

  1. 哈尔滨医科大学附属第一医院康复医学科，黑龙江哈尔滨市 150001。
  • 收稿日期:2011-07-22 修回日期:1900-01-01 出版日期:2012-03-25 发布日期:2012-03-25

Effect of Rehabilitation Education on Upper-limb Motor Function after Stroke

LÜ Zheng, LI Chun-lei, ZHANG Ning, et al.   

  1. Department of Rehabilitation, The First Affiliated Hospital, Harbin Medical University, Harbin 150001, Heilongjiang, China
  • Received:2011-07-22 Revised:1900-01-01 Published:2012-03-25 Online:2012-03-25

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摘要： 目的观察康复教育在脑卒中后上肢运动功能康复中的效果。方法40 例脑卒中患者随机分成治疗组和对照组。治疗组(n=20)给予常规康复治疗结合康复教育，对照组(n=20)只进行常规康复治疗。所有病例在治疗前和治疗后均用改良Ashworth 量表(MAS)、Fugl-Meyer 评定量表(FMA)、Barthel 指数(BI)进行评定。结果两组患者治疗后FMA 和BI 评分明显改善(P<0.01)，MAS 评分治疗组明显改善(P<0.01)，对照组无显著性差异；治疗组治疗后MAS、FMA和BI 评分较对照组改善更明显(P<0.01)。结论康复教育在脑卒中后运动功能康复中发挥重要作用。

关键词: 脑卒中, 康复教育, 运动功能

Abstract: Objective To observe the effect of rehabilitation education on upper-limb motor function in stroke patients. Methods 40stroke patients were divided randomly into treatment group and control group. The treatment group (n=20) accepted rehabilitation and rehabilitationeducation, and control group (n=20) accepted rehabilitation only. They were assessed with Modified Ashworth Scale (MAS),Fugl-Meyer Assessment (FMA) of upper-limb and Barthel Index (BI) before and after treatment. Results The scores of FMA and BI improvedin both groups after treatment (P<0.01), but the score of MAS improved only in the treatment group (P<0.01). The scores of FMA,BI and MAS improved more in the treatment group than in the control group (P<0.01). Conclusion Rehabilitation education plays an importantrole in motor function rehabilitation after stroke.

Key words: stroke, rehabilitation education, motor function