定向透药疗法联合双侧上肢康复训练治疗脑卒中恢复期上肢运动功能障碍临床研究
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R743.3

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丽水市科技计划项目(2022GYX48)


Clinical Study on Directional Transdermal Therapy Combined with Rehabilitation Training of Bilateral Upper Limbs for Upper Limb Motor Dysfunction in Convalescence of Stroke
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    摘要:

    目的:观察定向透药疗法联合双侧上肢康复训练对脑卒中恢复期上肢运动功能障碍的治疗效果。方法:选取100 例脑卒中恢复期上肢运动功能障碍患者,以随机数字表法分为A 组和B 组各50 例。2 组均给予基础治疗,A 组在此基础上进行双侧上肢康复训练,B 组在A 组基础上给予定向透药疗法治疗。2 组均治疗2 个月。比较2 组治疗前后上肢表面肌肉肌电值及Fugl-Meyer 运动功能评定量表(FMA)、手臂动作调查测试(ARAT)、日常生活活动能力量表(ADL)、简明健康状况量表(SF-36) 评分。结果:治疗后,2 组斜方肌、三角肌前束、肱二头肌肌电值均较治疗前增大(P<0.05),B 组斜方肌、三角肌前束、肱二头肌肌电值均大于A 组(P<0.05)。治疗后,2 组FMA、ARAT、ADL、SF-36 评分均较治疗前升高(P<0.05),B 组FMA、ARAT、ADL、SF-36 评分均高于A 组(P<0.05)。结论:定向透药疗法联合双侧上肢康复训练治疗可改善脑卒中恢复期患者的上肢运动功能,提高其日常生活活动能力及生活质量。

    Abstract:

    Abstract:Objective:To observe the curative effect of directional transdermal therapy combined with rehabilitation training of bilateral upper limbs on upper limb motor dysfunction in convalescence of stroke. Methods: A total of 100 cases of patients with bilateral upper limbs on upper limb motor dysfunction in convalescence of stroke were selected and divided into Group A and Group B according to the random number table method,with 50 cases in each group. Both groups were given basic treatment;Group A was additionally given rehabilitation training of bilateral upper limbs,and Group B was additionally treated with directional transdermal therapy based on the treatment of Group A. Both groups were treated for two months. The EMG values of upper limb surface muscles and the scores of Fugl Meyer Motor Function Assessment Scale(FMA) , Action Research Arm Test(ARAT) , Activity of Daily Living Scale(ADL) and 36- Item Short Form Survey(SF- 36) before and after treatment were compared between the two groups. Results:After treatment,the EMG values of trapezius,anterior bundle of deltoid,and biceps brachii in the two groups were increased when compared with those before treatment(P<0.05), and the three values in Group B were higher than those in Group A(P<0.05). After treatment,scores of FMA,ARAT, ADL and SF-36 in the two groups were increased when compared with those before treatment(P<0.05), and the above scores in Group B were higher than those in Group A(P<0.05). Conclusion:For patients in convalescence of stroke, directional transdermal therapy combined with rehabilitation training of bilateral upper limbs can improve their motor function of upper limbs,ability of daily living and quality of life.

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金鑫鑫,刘春花,吴思敏.定向透药疗法联合双侧上肢康复训练治疗脑卒中恢复期上肢运动功能障碍临床研究[J].新中医,2022,54(22):148-151

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  • 在线发布日期: 2022-11-27
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