康复治疗干预在脑卒中合并肩手综合征患者治疗中的临床效果

摘要
图/表
参考文献(15)
相关文章 (15)

全文: PDF (0 KB) HTML (34 KB)
输出: BibTeX | EndNote (RIS)

摘要目的综合分析康复治疗干预在脑卒中合并肩手综合征患者治疗中的临床效果。方法选取广州颐康老年病医院2014年10月～2016年10月收治的80例脑卒中合并肩手综合征患者作为研究对象，按照入院顺序随机分为实验组（应用康复治疗干预方法）和对照组（应用常规干预治疗方法），每组各40例。比较两组的临床治疗效果、护理总满意评分以及康复护理干预前后的各项指标评分（日常生活活动能力、肢体运动功能评分、视觉模拟疼痛评分）。结果实验组治疗总有效率为92.50%（37/40），对照组治疗总有效率为72.50%（29/40），实验组治疗总有效率显著高于对照组（P＜0.05）；实验组护理总满意评分显著高于对照组（P＜0.05）；康复护理干预前，两组的日常生活活动能力、肢体运动功能评分、视觉模拟疼痛评分比较，差异无统计学意义（P＞0.05）；康复护理干预后，实验组日常生活活动能力、肢体运动功能评分、视觉模拟疼痛评分显著优于对照组，差异均有统计学意义（P＜0.05）。结论康复治疗干预在脑卒中合并肩手综合征患者中的临床效果显著，能够积极改善患者的肢体功能。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	夏阳
	张雯翠

关键词 ：康复治疗干预, 脑卒中合并肩手综合征, 临床效果, 肢体功能

Abstract：Objective To comprehensively analyze the clinical effect of rehabilitation intervention in the treatment of patients with stroke and shoulder-hand syndrome.MethodsA total of 80 cases of stroke complicated with shoulderhand syndrome who were treated in Guangzhou Yikang Geriatrics Hospital from October 2014 to October 2016 were selected as research subjects.They were randomly divided into experimental group(rehabilitation therapy intervention)and control group (conventional intervention treatment)according to admission order,40 cases in each group.The clinical efficacy,total satisfaction score of nursing and scores of indicators(activities of daily living,limb motor function score,visual analogue pain score)before and after rehabilitation nursing intervention were compared between the two groups.Results The total effective rate in the experimental group was 92.50%(37/40),the total effective rate in the control group was 72.50%(29/40),and the total effective rate in the experimental group was significantly higher than that in the control group(P＜0.05);the total satisfaction score in the experimental group was significantly higher than that in the control group(P＜0.05);before rehabilitation nursing intervention,there was no statistically significant difference in the activities of daily living，limb motor function scores and visual analogue pain score between the two groups(P＞0.05);after rehabilitation nursing intervention,the activities of daily living,limb motor function scores and visual analogue pain scores in the experimental group were significantly better than those in the control group,the differences were statistically significant(P＜0.05).Conclusion Rehabilitation therapy intervention has a significant clinical effect in patients with stroke complicated with shoulder-hand syndrome and improves limb function significantly.

Key words： Rehabilitation therapy intervention Stroke complicated with shoulder-hand syndrome Clinical effect Limb function

引用本文:

夏阳；张雯翠. 康复治疗干预在脑卒中合并肩手综合征患者治疗中的临床效果[J]. 中国当代医药, 2018, 25(13): 42-44.
XIA Yang；ZHANG Wen-cui. Clinical effect of rehabilitation intervention in the treatment of patients with stroke complicated with shoulder-hand syndrome. 中国当代医药, 2018, 25(13): 42-44.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2018/V25/I13/42

[1]	李雪琴，邱爽，方远，等.脑卒中患者合并肺部感染的早期康复治疗研究[J].当代医学，2017，23（5）：73-74.
[2]	吕晓颖，赵迎娱，孙永新，等.动静脉泵预防和治疗脑卒中合并肩手综合征[J].中国医科大学学报，2012，41（3）：270-271.
[3]	3]Zheng HZ，JiangW，Zhao XF，et al.Electro acupuncture inducesacute changes in cerebral cortical miRNAprofile，improves cerebral blood flow and alleviates neurological deficitsin a rat modelof stroke[J].Neural Regen Res，2016，11（12）：1940-1950.
[4]	张园园，潘化平，冯慧，等.超声结合扶他林痛点导入治疗卒中后复杂区域疼痛综合征临床分析[J].中国疼痛医学杂志，2015，21（4）：309-311.
[5]	Lan X，Zhang X，Zhou GP，et al.Electro acupuncture reduces apoptotic index and inhibits p38 mitogen-activated protein kinase signaling pathway in the hippocampus of rats with cerebral ischemia/reperfusion injury[J].Neural Regen Res，2017，12（3）：409-416.
[6]	陈琳，徐雀莺，詹述琴，等.热敏灸联合渐进式康复训练治疗脑卒中肩手综合征患者的随机对照研究[J].齐齐哈尔医学院学报，2016，37（10）：1369-1371.
[7]	贾爱明，胡文梅，张红，等.加味补阳还五汤联合康复训练对脑卒中后急性期肩手综合征的疗效[J].广东医学，2013，34（12）：1933-1935.
[8]	Zou LH，Liu JP，Zhang H，et al.Cerebral Metabolic Profiling of Hypothermic Circulatory Arrest with and Without Antegrade Selective Cerebral Perfusion：Evidence from Nontargeted Tissue Metabolomics in a Rabbit Model[J].Chin Med J，2016，129（6）：702-708.
[9]	冯怡墨，马素兰.针灸结合红外线穴位照射及康复训练治疗126例脑卒中后肩手综合征疗效观察[J].激光杂志，2015，36（4）：195-197.
[10]	刘悦，苏利梅，解书山，等.巨刺法结合康复训练治疗脑卒中后肩手综合征Ⅰ期疗效观察[J].中国康复医学杂志，2013，28（3）：267-268.
[11]	秦宏，马丹，罗峰，等.肌内效贴布治疗脑卒中后肩手综合征患者疼痛肿胀疗效观察[J].中国运动医学杂志，2014，33（12）：1149-1152，1160.
[12]	张晓玲，官俏兵，顾旭东，等.经皮电神经刺激对脑卒中后肩手综合征患者交感神经皮肤反应的影响[J].中华物理医学与康复杂志，2012，34（12）：920-923.
[13]	唐朝正，陈昌成，丁政，等.基于镜像神经元理论的动作观察在脑卒中后肩手综合征疼痛康复中的应用[J].中国康复医学杂志，2016，31（2）：145-149.
[14]	Zhang D，Huang Z，Zhao J，et al.Early postoperative infarction out of the middle cerebral artery distribution following superficial temporal artery-middle cerebral artery bypass：clinical features and pathogenesis[J].Chin Med J，2014，127（11）：2194-2196.
[15]	韩淑凯，王会青，韩凯云，等.补气化痰通络方结合表里两经并刺法治疗脑卒中后肩手综合征患者疼痛及水肿的疗效[J].中国老年学杂志，2013，33（3）：542-543.