四肢联动训练对脑卒中单侧忽略患者影响.docVIP

四肢联动训练对脑卒中单侧忽略患者影响 　　[摘要]目的 观察四肢联动训练对脑卒中单侧忽略患者功能恢复的疗效。方法 将40 例2013年5月～2015年5月在神经科和康复科住院的脑卒中单侧忽略患者随机分为治疗组、对照组，各20 例。治疗组采用四肢联动训练加常规康复治疗，对照组为常规康复治疗。治疗前及治疗8周后，采用凯瑟林-波哥量表（CBS）和简化Fugl-Meyer运动量表（FMA）进行评定。结果 治疗8 周后，两组的CBS、FMA评分与治疗前比较，差异有统计学意义（P0.05），治疗组治疗后的CBS 评分低于对照组（P0.05），FMA评分高于对照组（P0.05）。结论 四肢联动训练联合常规康复治疗能改善单侧忽略患者的症状，进一步改善其肢体运动功能。 　　[关键词]单侧忽略；四肢联动训练；常规康复治疗 　　[中图分类号] R743.3 [文献标识码] A [文章编号] 1674-4721（2017）10（a）-0061-03 　　[Abstract]Objective To observe the effect of limbs coordination training on the functional recovery of stroke patients with unilateral neglect.Methods Altogether 40 stroke patients with unilateral neglect hospitalized in department of neurology and department of rehabilitation of our hospital from May 2013 to May 2015 were randomly divided into treatment group and control group，and there were 20 cases in each group.Treatment group was treated with routine rehabilitation combined with limbs coordination training，while control group was treated with routine rehabilitation treatment.Catherine-Bergego scale （CBS） and simplified Fugl-Meyer assessment （FMA） were used before and after 8 weeks treatment for evaluation.Results After 8 weeks treatment，CBS and FMA score of two groups had statistically significant difference in comparison with before treatment （P0.05），CBS score of treatment group was lower than that of control group （P0.05），FMA score of treatment group was higher than that of control group （P0.05）.Conclusion Combination of limbs coordination training and routine rehabilitation treatment can improve the symptoms of patients with unilateral neglect so as to further improve the extremity motor function of patients. 　　[Key words]Unilateral neglect；Limbs coordination training；Routine rehabilitation treatment 　　单侧忽略（unilateral neglect，UN），是脑卒中后常见的行为认知障碍，其特征是以体轴为中心，受损对侧肢体感知觉缺失，对侧视觉、听觉、触觉，伴空间定位等信息处理功能障碍[1]，影响脑卒中患者的康复功能恢复效果。近年来，四肢联动训练利用一肢带动三肢或健侧带动患侧的训练方式，帮助脑卒中患者在安全的前提下，早期主动进行闭链运动训练，现被广泛用于临床，已有报道利用四肢联动训练改善脑卒中患者躯体及平衡功能并取得了一定效果[2-5]，然而迄今为止，采用四肢联动训练治疗UN的