《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (1): 64-65.

• 论文 • 上一篇    下一篇

脑卒中后肩-手综合征的干预对运动功能的影响

李小六1，邢晓燕1，赵晓鸥2，安雪梅3，魏新萍4，苏楠4，张晓阳1   

  1. 1.上海瑞金医院集团闵行区中心医院康复医学科，上海市 201100;2.北京解放军309医院康复医学科,北京市 100091；3.北京丰台区半山园社区卫生服务中心,北京市 100077；4.上海闵行区古美社区卫生服务中心,上海市 201120。
  • 收稿日期:2010-11-29 修回日期:2011-01-11 出版日期:2011-01-25 发布日期:2011-01-25

Intervention for Shoulder-hand Syndrome on Motor Function in Stroke Patients

LI Xiao-liu, XING Xiao-yan, ZHAO Xiao-ou, et al.   

  1. Minhang District Central Hospital，Shanghai 201100, China
  • Received:2010-11-29 Revised:2011-01-11 Published:2011-01-25 Online:2011-01-25

PDF (PC)

被引次数

9

摘要： 目的了解偏瘫患者经过康复治疗出院后功能恢复与并发症干预的关系。方法112例脑卒中偏瘫患者在出院时随机分为治疗组和对照组；治疗组进行肩-手综合征预防和治疗；于出院后15 d、1个月、3个月、6个月观察两组Fugl-Meyer评定、Barthel指数及肩-手综合征发病率。结果Fugl-Meyer评定和Barthel指数评分，两组间有非常显著性差异（P<0.01）；肩-手综合征发病率随时间延长逐步上升。结论脑卒中患者出院后1～6个月多并发肩-手综合征，制定有效的预防、康复治疗和建立接管机制至关重要。

关键词: 脑卒中, 肩-手综合征, 并发症, 预防, 康复, 运动功能

Abstract: ObjectiveTo investigate the shoulder-hand syndrome complicated in stroke patients discharged from hospital and effects of intervention for it on motor function.Methods112 stroke patients discharged from hospital were divided into treatment group and control group. The treatment group received intervention to provent and treat the shoulder-hand syndrome. They were assessed with Fugl-Meyer assessment, Barthel index 15 d, 1 month, 3 month, and 6 month after discharged, and the incidence of shoulder-hand syndrome were recorded. ResultsThe scores of Fugl-Meyer Assessment and Barthel Index were significant difference between these 2 groups (P<0.01). The incidence of shoulder-hand syndrome increased with time. ConclusionShoulder-hand syndrome may occur within 6 months after stroke. It is important to develop an effective prevention, treatment and rehabilitation to deal with it.

Key words: stroke, shoulder-hand syndrome, complication, prevention, rehabilitation, motor function