摘要
目的分析机械手训练在脑卒中偏瘫患者上肢康复中的应用效果。方法选取120例脑卒中偏瘫患者作为研究对象,按照随机抽签法分为观察组和对照组,每组60例。对照组采用常规康复训练,观察组在对照组基础上采用机械手训练。对比两组干预前后的上肢功能、日常生活活动能力、神经功能、生活质量及肌力恢复效果。结果干预后,两组Fugl-Meyer上肢运动功能评定量表(FMA-UE)、上肢动作研究量表(ARAT)、Barthel指数(BI)评分均呈现升高趋势,且观察组FMA-UE、ARAT、BI评分分别为(52.34±9.17)、(51.47±8.55)、(78.46±10.43)分,均高于对照组的(46.08±7.52)、(44.05±6.80)、(71.03±9.60)分,差异有统计学意义(P<0.05)。观察组肌力恢复总有效率91.67%明显高于对照组的70.00%,差异有统计学意义(P<0.05)。干预后,两组美国国立卫生研究院卒中量表(NIHSS)评分均明显下降,脑卒中专用生活质量量表(SS-QOL)评分均明显升高,且观察组NIHSS评分(5.79±1.52)分低于对照组的(7.86±2.20)分,SS-QOL评分(172.34±20.04)分高于对照组的(159.88±18.62)分,差异有统计学意义(P<0.05)。结论在脑卒中偏瘫患者上肢康复中采用机械手训练具有良好的应用效果。
Objective To analyze the application effect of manipulator training in upper limb rehabilitation of patients with post-stroke hemiplegia.Methods A total of 120 patients with post-stroke hemiplegia were divided into observation group and control group according to random lottery method,with 60 cases in each group.The control group received routine rehabilitation training,and the observation group received manipulator training based on the control group.The upper limb function,activities of daily living,neurological function,quality of life and muscle strength recovery before and after intervention were compared between the two groups.Results After the intervention,the scores of Fugl-Meyer Assessment of the upper extremity(FMA-UE),Action Research Arm Test(ARAT)and Barthel Index(BI)in both groups showed an increasing trend;the scores of FMA-UE,ARAT and BI in the observation group were(52.34±9.17),(51.47±8.55)and(78.46±10.43)points,which were higher than those of(46.08±7.52),(44.05±6.80)and(71.03±9.60)points in the control group;the differences were statistically significant(P<0.05).The total effective rate of muscle strength recovery in the observation group was 91.67%,which was significantly higher than that of 70.00%in the control group,and the difference was statistically significant(P<0.05).After intervention,the score of National Institutes of Health Stroke Scale(NIHSS)decreased significantly in both groups,and the score of Stroke Specific Quality of Life Scale(SS-QOL)increased significantly in both groups;NIHSS score of(5.79±1.52)points in the observation group was lower than that of(7.86±2.20)points in the control group;SS-QOL score of(172.34±20.04)points in the observation group was higher than that of(159.88±18.62)points in the control group;the differences were statistically significant(P<0.05).Conclusion Manipulator training has achieved good results in upper limb rehabilitation of patients with post-stroke hemiplegia.
作者
李其杰
李前进
吴一雷
王友清
邓启彰
LI Qi-jie;LI Qian-jin;WU Yi-lei(The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524013,China)
出处
《中国实用医药》
2023年第18期164-167,共4页
China Practical Medicine
关键词
脑卒中
偏瘫
机械手训练
上肢康复
康复效果
Stroke
Hemiplegia
Manipulator training
Upper limb rehabilitation
Rehabilitation effect
