早期偏瘫肢体综合训练对脑卒中患者生活质量的影响.docVIP

早期偏瘫肢体综合训练对脑卒中患者生活质量的影响 　　[摘要] 目的 探讨早期偏瘫肢体综合训练对脑卒中患者生活质量（QOL）的影响。 方法 将60例脑卒中患者随机分为治疗组和对照组各30例。两组患者均经过神经内科常规治疗和康复护理，治疗组除接受上述治疗外，病情稳定后早期由康复治疗师进行偏瘫肢体综合训练，治疗前及治疗6周后，分别采用简化Fugl-Meyer评分，Lindmark评分及改良Barthel指数评分（MBl）对两组患者肢体感觉运动功能和ADL能力进行评定。 结果 经6周治疗后发现治疗组患者肢体感觉（27.38±7.69）分、上肢Fugl-Meyer运动功能（23.06±7.26）分、下肢Fugl-Meyer运动功能（25.74±9.24）分、MBI能力（74.98±14.65）分；对照组患者肢体感觉（18.92±5.79）分、上肢Fugl-Meyer运动功能（25.74±9.24）分、下肢Fugl-Meyer运动功能（17.49±4.86）分、MBI能力（43.21±12.57）分；两组治疗后较治疗前各项评分明显改善，且治疗组改善幅度均显著优于对照组（P0.05）。 结论 脑卒中患者早期（病情稳定后48 h）尽早进行偏瘫肢体综合训练，对患者的QOL有显著提高，可提高患者的生存质量。 　　[关键词] 脑卒中；早期偏瘫肢体综合训练 ；生活质量 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2014）08（b）-0037-03 　　[Abstract] Objective To explore the impact of early hemiplegic limb comprehensive training on the quality of life （QOL） of stroke patients. Methods 60 patients with stroke were randomly divided into the treatment group and the control group with 30 cases in each. Both groups of patients were given the conventional treatment and rehabilitation of neurology. In addition， the treatment group were given the hemiplegic limb comprehensive training by rehabilitation therapists in the early period of stability. Simplified Fugl-Meyer Assessment Scale， Lindmark score and Modified Barthel Index（MBI） score were used to evaluate the limb sensorimotor function of two groups of patients and the ability of ADL before treatment and after 6 weeks of treatment. Results After 6 weeks of treatment， the limb sensory motor function of the treatment group was（27.38±7.69） points， Fugl-Meyer Assessment Scale of upper limb motor function and lower extremity motor function was（23.06±7.26） points，（25.74±9.24） points， respectively， MBI ability was（74.98±14.65） points， and that of the control group was（18.92±5.79） points，（25.74±9.24） points， （17.49±4.86） points，（43.21±12.57） points， respectively. The scores of the above indexes improved significantly compared with those before treatment， and the extent of improvement of the treatment group was obviously bett