《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (11): 1052-1054.

• 论文 • 上一篇    下一篇

社区脑卒中后遗症患者肱三头肌皮皱厚度的意义

刘秀玲1，侯来永2，初腾2，李敏2
   

  1. 1.北京市朝阳区管庄第二社区卫生服务中心康复科，北京市100024；2.中日友好医院康复医学科，北京市100029。
  • 收稿日期:2012-11-13 修回日期:2013-08-30 出版日期:2013-11-25 发布日期:2013-11-25

Triceps Skinfold Thickness in Hemiplegics post Stroke in Community

LIU Xiu-ling, HOU Lai-yong, CHU Teng, et al.
  

  1. Department of Rehabilitation, Guanzhuang Second Community Health Service Center of Chaoyang District, Beijing 100024, China
  • Received:2012-11-13 Revised:2013-08-30 Published:2013-11-25 Online:2013-11-25

摘要： 目的探讨社区脑卒中后遗症偏瘫患者肱三头肌皮皱厚度(TSF)测量的临床意义。方法对社区脑卒中偏瘫后遗症患者42 例及同一社区同年龄段健康人42 名，由同一组医生进行体检，包括身高、体重、血压、心率、血糖、腰围、臀围、TSF；对患者进行Brunnstrom 分级并调查日常锻炼情况。结果偏瘫组健侧TSF 大于患侧(P<0.05)，健、患侧TSF 均小于对照组(P<0.05)。偏瘫组中，上肢Brunnstrom 分级Ⅳ级及以上者，健侧、患侧TSF均大于Ⅳ级以下者；规律参加运动者，健侧、患侧TSF均大于未规律锻炼者(P<0.01)。偏瘫组体重指数、腰围大于对照组(P<0.05)。结论脑卒中后遗症患者TSF降低。TSF与患者上肢功能及是否规律运动有关。

关键词: 脑卒中, 偏瘫, 皮皱厚度, 运动锻炼, 运动功能

Abstract: Objective To investigate the triceps skinfold thickness (TSF) of patients with stroke in community. Methods 42 hemiplegics after stroke and 42 normal persons in the same community were measured by a same doctor team, including height, weight, blood pressure, heart rate, waist circumference, hip circumference, and TSF. The grade of Brunnstrom and daily exercise time of the patients were investigated. Results The TSF was thicker in the non-affected side than in the affected side (P<0.05). The bilateral TSF was thinner in the patients than in the normal controls (P<0.05). In the patients, the TSF was thicker in those with function grade above Brunnstrom IV than those below (P<0.05), and in those who took part in exercise regularly than those did not (P<0.01). The body mass index was more in the patients than in the controls (P<0.05). Conclusion The TSF is thinner in the patients with stroke, which may associate with the motor function and daily exercise.

Key words: stroke, hemiplegia, skinfold thickness, exercise, motor function