作业疗法改善脑卒中后偏侧感觉障碍及手功能的效果①.pdfVIP

- 638 - 中国康复理论与实践2012 年7 月第18 卷第7 期 Chin J Rehabil Theory Pract, Jul. 2012, Vol. 18, No.7 DOI : 10.3969/j.issn. 1006-9771.2012.07.013 ·临床研究· 作业疗法改善脑卒中后偏侧感觉障碍及手功能的效果① 由丽，饶江，刘莉，邵伟波 [摘要] 目的 探讨作业疗法对脑卒中后偏侧感觉障碍及手功能的作用。方法 50 例脑卒中后存在偏侧感觉障碍的患者分为 作业组(n=25) 和对照组(n=25) ，在对照组常规治疗的基础上，作业组通过针对性的作业疗法进行感觉训练。治疗前后采用 Fugl-Meyer 上肢感觉评分以及手功能实用性评定进行评价。结果 2 个月后，两组感觉评分和手实用能力均有改善，作业组优于对 照组(P0.05) 。结论 作业疗法能改善脑卒中患者的偏侧感觉障碍，还能提高手的实用能力。 [关键词] 脑卒中；作业疗法；偏侧感觉障碍；手功能 Effect of Occupational Therapy on Hemianesthesia and Hand Function after Stroke YOU Li, RAO Jiang, LIU Li, et al. Brain Hospi- tal Affiliated to Nanjing Medical University, Nanjing 210029, Jiangsu, China Abstract: Objective To explore the effect of occupational therapy (OT) on hemianesthesia and hand function after stroke. Methods 50 stroke patients with hemianesthesia were divided into OT group (n=25) and control group (n=25). The OT group accepted OT combined with routine therapy and the control group accepted routine therapy only. They were assessed with upper extremity sense of Fugl-Meyer As- sessment (FMA) and evaluation of hand function before and after treatment. Results The scores of FMA and hand function improved signifi- cantly in both groups 2 months after treatment, and improved more in the OT group than in the control group (P0.05). Conclusion OT can improve the sense and the hand function in stroke patients with hemianesthesia. Key words: stroke; occupational therapy; hemianesthesia; hand function [中图分类号] R743.3 [文献标识码] A [文章编号] 1006-9771(2012)07-0638-02 [本文著录格式] 由丽，饶江，刘莉，等. 作业疗法改善脑卒中后偏侧感觉障碍及手功能的效果[J]. 中国康复理论与实践, 2012, 18(7): 638-639. [2] 约65% 的脑卒中患者可出现不同类型不同程度的 min ，同时配合中频脉冲电刺激等