早期康复治疗对急性脑梗死患者上肢运动功能影响.docVIP

早期康复治疗对急性脑梗死患者上肢运动功能影响 　　【摘要】目的 探究康复治疗在急性脑梗死患者手运动功能恢复上的作用。方法 利用BOLD-fMRI技术与Fugl-Meyer（FMA）运动功能评分评定方法，比较脑梗死急性期患者38例治疗前、后（2周）手运动中枢激活区（SMC）体积及偏侧化指数（LI）的变化，并比较分析其治疗过程中的康复情况（FMA评分）。结果 脑梗死患者38例中，其健手被动运动的LI值大于患手；康复治疗组患手（右手）治疗前、后（2周）的运动激活SMC的LI值比较，差异有统计学意义（P0.05）；康复治疗组的FMA评分明显高于常规治疗组，且FMA评分呈上升状态，至治疗第12周后趋于平缓。结论 康复治疗对急性脑梗死患者的手运动功能恢复具有积极的作用，以发病后的前12周进行康复治疗的效果为佳。 　　【关键词】BOLD-fMRI；LI；脑梗死；手运动；康复治疗 　　【中图分类号】R743.3 【文献标识码】A 【文章编号】ISSN.2095-6681.2015.08.0.03 　　Effect of early rehabilitation therapy on upper limb motor function in patients with acute cerebral infarction 　　HOU Xian1，YUAN Jia-ying2，QIU Xiu-juan1，ZHU Mao-mao1 　　（1.The Zhengzhou garrison sanatorium，Henan Zhengzhou 450007，China； 　　2.Ultrasound diagnosis Department of Henan Military Area Command，Henan Zhengzhou 450014，China） 　　【Abstract】Objective This study aimed to investigate the role of rehabilitation in hand motor function recovery in patients with acute cerebral infarction. Methods Blood oxygenation level dependent functional magnetic resonance imaging （BOLD-fMRI） technique and Fugl-Meyer assessment scale （FMA） method were adopted. Changes of hand movement central activation area （SMC） volume and laterality index （LI） of 38 cases with acute cerebral infarction before and after treatment （two weeks） were comparatively analyzed. Additionally， comparative analysis was also conducted to examine rehabilitation conditions during the therapeutic process （FMA score） Results The LI value of healthy hand passive movement in 38 patients with cerebral infarction was greater than that of the affected hand. The LI value of SMC of the affected hand （right hand） in the rehabilitation group before and after treatment （two weeks） indicated significant differences（P0.05）. FMA score in the rehabilitation group was markedly higher than that of the conventional treatment group. Also， the FMA score showed a rising trend and tended to flat after 12 weeks of treatment. Conclusion Rehabilitation therapy had a positive effect on hand