日常生活活动训练对脑卒中偏瘫患者的康复疗效①.pdfVIP

- 636 - 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. 1006-9771.2012.07.012 ·临床研究· 日常生活活动训练对脑卒中偏瘫患者的康复疗效① 1a 1b 1a 邱小红 ，刘雄琼 ，田斐 [摘要] 目的 探讨作业疗法中日常生活活动训练对脑卒中偏瘫患者康复疗效的影响。方法 50 例脑卒中偏瘫患者分成治疗 组(n=27)和对照组(n=23) ，治疗组进行物理治疗和作业疗法中日常生活活动训练，对照组单纯进行物理治疗。疗程6 个月。采用改 良Barthel 指数(MBI)和Brunnstrom 分级进行评定。结果 治疗后，治疗组MBI 优于对照组(P0.05) ，Brunnstrom 分级无显著性差异 (P0.05) 。结论 日常生活活动训练可提高偏瘫康复效果。 [关键词] 作业疗法；日常生活活动；脑卒中；偏瘫；康复 Effect of Activities of Daily Living Training on Hemiplegia after Stroke QIU Xiao-hong, LIU Xiong-qiong, TIAN Fei. Department of Rehabilitation Medicine, Heping Hospital of Changzhi Medical College, Changzhi 046000, Shanxi, China Abstract: Objective To explore the effect of activities of daily living (ADL) training on hemiplegia after stroke. Methods 50 stroke pa- tients with hemiplegia were divided into treatment group (n=27), who received ADL training and physical therapy, and control group (n= 23), who only received physical therapy. They were evaluated with modified Barthel index (MBI) and the Brunnstrom classification. Re- sults After 6 months of treatment, the score of MBI improved more in the treatment group than in the control group (P0.05), but there was no significant difference in Brunnstrom stage (P0.05). Conclusion ADL training can improve the recovery of ADL in hemiplegics after stroke. Key words: occupational therapy; activities of daily living; stroke; hemiplegia; rehabilitation [中图分类号] R743.3 [文献标识码] A [文章编号] 1006-9771(2012)07-0636-02 [本文著录格式] 邱小红，刘雄琼，田斐. 日常生活活动训练对脑卒中偏瘫患者的康复疗效[J]. 中国康复理论与实践, 2012, 18 (7): 636-637. 随着诊治水平的提高，脑卒中的病死率明显下 定、神经系统症状不再加重，分别于脑梗死后1 周、 降，随之致残率明显升高，