渐进法康复治疗对缺血性脑卒中患者的影响
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摘要
目的观察渐进法康复治疗缺血性脑卒中患者的临床效果。方法选择本院2013年1月~2014年6月收治的缺血性脑卒中患者72例,按随机数字表随机分成观察组(渐进法康复治疗)与对照组(常规康复治疗),通过Fugl-Meyer运动功能评定量表、日常生活活动能力(ADL)、功能综合评定量表(FCA)评定两组康复效果。结果两组康复治疗前后Fugl-Meyer、ADL、FCA评分结果比较,差异有统计学意义(P<0.05),治疗后观察组的评分明显较对照组高,差异有统计学意义(P<0.05)。结论渐进康复治疗对缺血性脑卒中患者运动功能的恢复,取得了较好的临床效果。
Objective To observe the clinical effect of progressive rehabilitation act for rehabilitation of patients with ischemic stroke.Methods 72 patients with ischemic stroke from January 2013 to June 2014 admitted in our hospital were randomly divided into observation group(progressive rehabilitation act) and control group(conventional rehabilitation therapy),the differences of rehabilitation effect between two groups were checked by Fugl-Meyer assessment of movement,the ability to assess activities of daily living(ADL),functional comprehensive assessment(FCA).Results Fugl-Meyer,ADL,FCA score results was respectively significant difference between two groups before and after treament(P <0.05),but scores in observation group was significantly higher than that of control group after treatment(P <0.05).Conclusion The progressive rehabilitation law achieves good clinical effects for recovery of motor function in patients with ischemic stroke.
Objective To observe the clinical effect of progressive rehabilitation act for rehabilitation of patients with ischemic stroke.Methods 72 patients with ischemic stroke from January 2013 to June 2014 admitted in our hospital were randomly divided into observation group(progressive rehabilitation act) and control group(conventional rehabilitation therapy),the differences of rehabilitation effect between two groups were checked by Fugl-Meyer assessment of movement,the ability to assess activities of daily living(ADL),functional comprehensive assessment(FCA).Results Fugl-Meyer,ADL,FCA score results was respectively significant difference between two groups before and after treament(P <0.05),but scores in observation group was significantly higher than that of control group after treatment(P <0.05).Conclusion The progressive rehabilitation law achieves good clinical effects for recovery of motor function in patients with ischemic stroke.
引文
[1]陆敏茹,周围,刘健,等.三级康复治疗对脑卒中偏瘫患者功能改变的影响[J].中国当代医药,2014,21(16):60-62.
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[6]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准[J].北京中医药大学学报,1996,19(1):55-56.
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[9]胡永善,吴毅,朱玉连,等.规范三级康复治疗促进脑卒中偏瘫患者综合功能康复的临床研究[J].中国康复医学杂志,2004,19(6):418-421.
[10]Rüber T,Schlaug G,Lindenberg R.Compensatory role of thecortico-rubro-spinal tract in motor recovery after stroke[J].Neurology,2012,79(6):515-522.
[11]Overman JJ,Carmichael ST.Plasticity in the injured brain:more than molecules matter[J].Neuroscientist,2014,20(1):15-28.
[12]Westlake KP,Nagarajan SS.Functional connectivity in relation to motor performance and recovery after stroke[J].Front Syst Neurosci,2011,5:5-8.
[13]Ding Y,Li J,Clark J,et al.Synaptic plasticity in thalamic nuclei enhanced by motor skill training in rat with transient middle cerebral artery occlusion[J].Neurol Res,2013,35(2):189-194.
[14]Ward NS,Cohen LG.Mechanisms underlying recovery of motor function after stroke[J].Arch Neurol,2012,61(12):1844-1848.
[15]Liepert J,Hamzei F,Weiller C.Lesion-induced and training-induced brain reorganization[J].Restor Neurol Neurosci,2012,30(5):269-277.
[16]胡永善,吴毅,姜从玉,等.脑卒中患者规范化三级康复治疗模式探索[J].中国临床康复,2013,17(19):3850-3851.
[17]胡永善.脑卒中三级康复治疗方案的探讨[J].中华全科医师杂志,2012,11(12):712-714.
[18]Butefisch CM,Kleiser R,Seitz RJ.Post-lesional cerebral reorganisation:evidence from functional neuroimaging and transcranial magnetic stimulation[J].J Physiol Paris,2006,99(4-6):437-454.
[19]Clarkson AN,Overman JJ,Zhong S,et al.AMPA receptorinduced local brain-derived neurotrophic factor signaling mediates motor recovery after stroke[J].J Neurosci,2011,31(10):3766-3775.
[20]Schaechter JD,Moore CI,Connell BD,et al.Structural and functional plasticity in the somatosensory cortex of chronic stroke patients[J].Brain,2006,129(10):2722-2733.
[2]全国第四届脑血管病学术会议.各类脑血管病诊断要点[J].中华神经科杂志,2012,34(6):379-380.
[3]Stein J,Zorowitz R,Harvey R,et al.Stroke recovery and rehabilitation[M].New York:Demos,2009:12-16.
[4]赵健乐,韩春,李景琦,等.脑卒中康复治疗新策略[J].中国康复理论与实践,2014,20(10):928-931.
[5]全国第四次脑血管病学术会议.各类脑血管病诊断要点[J].中华神经科杂志,1996,29(6):379.
[6]国家中医药管理局脑病急症协作组.中风病诊断与疗效评定标准[J].北京中医药大学学报,1996,19(1):55-56.
[7]杨珊莉,陈立典,陶静,等.功能训练结合针刺治疗脑卒中运动功能障碍的系统评价[J].中国康复医学杂志,2008,23(7):649-652.
[8]Gladstone DJ,Danells CJ,Black SE.The Fugl-Meyer assessment of motor recovery after stroke:a critical review of its measurement properties[J].Neurorehabil Neural Repair,2002,16(3):232-240.
[9]胡永善,吴毅,朱玉连,等.规范三级康复治疗促进脑卒中偏瘫患者综合功能康复的临床研究[J].中国康复医学杂志,2004,19(6):418-421.
[10]Rüber T,Schlaug G,Lindenberg R.Compensatory role of thecortico-rubro-spinal tract in motor recovery after stroke[J].Neurology,2012,79(6):515-522.
[11]Overman JJ,Carmichael ST.Plasticity in the injured brain:more than molecules matter[J].Neuroscientist,2014,20(1):15-28.
[12]Westlake KP,Nagarajan SS.Functional connectivity in relation to motor performance and recovery after stroke[J].Front Syst Neurosci,2011,5:5-8.
[13]Ding Y,Li J,Clark J,et al.Synaptic plasticity in thalamic nuclei enhanced by motor skill training in rat with transient middle cerebral artery occlusion[J].Neurol Res,2013,35(2):189-194.
[14]Ward NS,Cohen LG.Mechanisms underlying recovery of motor function after stroke[J].Arch Neurol,2012,61(12):1844-1848.
[15]Liepert J,Hamzei F,Weiller C.Lesion-induced and training-induced brain reorganization[J].Restor Neurol Neurosci,2012,30(5):269-277.
[16]胡永善,吴毅,姜从玉,等.脑卒中患者规范化三级康复治疗模式探索[J].中国临床康复,2013,17(19):3850-3851.
[17]胡永善.脑卒中三级康复治疗方案的探讨[J].中华全科医师杂志,2012,11(12):712-714.
[18]Butefisch CM,Kleiser R,Seitz RJ.Post-lesional cerebral reorganisation:evidence from functional neuroimaging and transcranial magnetic stimulation[J].J Physiol Paris,2006,99(4-6):437-454.
[19]Clarkson AN,Overman JJ,Zhong S,et al.AMPA receptorinduced local brain-derived neurotrophic factor signaling mediates motor recovery after stroke[J].J Neurosci,2011,31(10):3766-3775.
[20]Schaechter JD,Moore CI,Connell BD,et al.Structural and functional plasticity in the somatosensory cortex of chronic stroke patients[J].Brain,2006,129(10):2722-2733.