摘要
目的探讨早期康复治疗对预防脑卒中肩手综合征及改善上肢功能的临床效果。方法选取2013年5月～2014年5月来本院就诊的脑卒中患者97例,采用随机数字法分为观察组（Treat Group,TG）与对照组（Control Group,CG）2组。观察组运用早期综合康复治疗,比较2组患者肩手综合征发生率,并采用Fugl-Meyer（FMA）评分法评价治疗前后上肢的运动功能。结果观察组共发生肩手综合征4例（8.00%）,对照组共发生肩手综合征12例（25.53%）,观察组肩手综合征的发生率明显低于对照组,上肢Fugl-Meyer功能评分明显优于对照组（P〈0.05）。结论早期康复治疗可以在一定程度上预防肩手综合征的发生,并能改善上肢功能,提高患者生存及生活质量。
Objective This study aims to investigate the clinical comprehensive effect of early rehabilita- tion treatment in preventing shoulder-hand syndrome and improving the upper limb function after stroke. Meth- otis 97 patients with brain stroke were selected internalized in our hospital from May 2013 to May 2014. All the participants were randomly divided into the treatment group （TG） and the control group （CG） according to the random number method. TG was treated by early comprehensive rehabilitation treatment. The incidence of shoulder-hand syndrome and Fugl-Meyer （FMA） score was used to evaluatedh the motor function of upper limb of these two groups before and after treatment. Results It occurred 4 cases （8%） of shoulder-hand syn- drome in TG, however, 12 cases （25.53%） in CG, which the incidence of shoulder-hand syndrome was signif- icantly lower in TG than that of in CG. Moreover, the score of FMA function of upper limb was significantly better in TG than that of in CG, which had significant difference between two groups （P〈0. 05）. Conclusions The early rehabilitation treatment can prevent the incidence of shoulder-hand syndrome in a certain extent to some extent; and improve the upper limb function, and the survival and quality of life of the patients.
出处
《卒中与神经疾病》
2015年第3期138-140,143,共4页
Stroke and Nervous Diseases
关键词
脑卒中
肩手综合征
上肢功能
早期康复治疗
Stroke
Shoulder-hand syndrome
Upper limb function
Early rehabilitation treatment
