反复促通疗法联合常规康复治疗脑卒中患者上肢功能恢复的疗效观察

Observation on the Effect of Repeated Facilitative Exercise Combined with Routine Rehabilitation on Upper Limb Function Recovery in Stroke Patients

摘要: 目的：探讨反复促通疗法联合常规康复治疗脑卒中患者上肢功能恢复的临床效果。方法：随机选出2020年8月至2022年8月就诊于在井冈山大学附属医院康复科就诊的脑卒中伴偏瘫患者80例，按照随机分组分为两组各40例。采用常规康复治疗对照组患者，试验组为常规康复治疗基础上增加反复促通疗法；2组均连续治疗4周，于治疗前、治疗4周后分别采用上肢Fugl-Meyer功能评分法(FMA-UE)、改良Barthel指数(MBI)以及改良Ashworth痉挛评定量表(MAS)等项目对所有患者的康复效果进行评定。结果：治疗4周后，2组患者的FMA-UE、MBI评分较治疗前均明显提高(P < 0.05)，对照组MAS对比未治疗时无明显差异(P > 0.05)，试验组患者MA对比未治疗时差异显著(P < 0.05)，且试验组治疗效果明显高于对照组，差异有显著性(P < 0.05)。结论：反复促通疗法联合常规康复治疗可有效降低脑卒中患者的肌张力，使脑卒中患者上肢的运动功能明显提高，并进一步提高患者生活质量。

Abstract: Objective: To investigate the clinical effect of repeated facilitative exercise with routine rehabilitation on upper limb function recovery in stroke patients. Methods: A total of 80 stroke hemiplegia patients treated in the rehabilitation Department of Jinggangshan University Affiliated Hospital from August 2020 to August 2022 were selected and randomly divided into control group and treatment group, with 40 cases in each group. The control group received conventional rehabilitation treatment, and the treatment group received repeated facilitative exercise based on conventional rehabilitation treatment. The two groups were treated continuously for 4 weeks. The upper limb Fugl-Meyer Functional score (FMA-UE), modified Barthel Index (MBI) and modified Ashworth Spasmodic Rating Scale (MAS) were used to evaluate the rehabilitation effects of all patients before and after treatment, respectively. Result: After 4 weeks of treatment, FMA-UE and MBI scores in 2 groups were significantly higher than before treatment (P < 0.05), MAS in control group had no significant difference compared with before treatment (P > 0.05), compared with no treatment, MAS of treatment group had statistical significance (P < 0.05), and scores in treatment group were obviously higher than the other group. The difference was statistically significant (P < 0.05). Conclusion: Repeated facilitative exercise combined with routine rehabilitation can effectively reduce the muscle tone and improve the motor function of upper limbs in stroke patients, and increasing the quality of life of patients.