中西医一体化卒中康复单元模式在脑卒中后运动障碍康复中的应用研究
2018,50(2):100-104
摘要：目的：观察中西医一体化卒中康复单元模式对脑卒中后运动障碍的影响。方法：将90例脑卒中后运动障碍患者按随机数字表法分为治疗组和对照组，每组45例。2组均予神经内科常规处理，对照组采用卒中康复单元模式治疗，治疗组在卒中康复单元模式基础上加用中医治疗手段。观察2组治疗前后Wolf运动功能评估量表（WMFT）、Fugl-Meyer肢体运动功能评定量表及日常生活活动能力量表（ADL）评分的变化。结果：治疗后，2组WMFT、Fugl-meyer上肢运动功能、Fugl-meyer下肢运动功能及ADL评分均较治疗前提高，差异均有统计学意义（P＜0.05）；治疗组的WMFT、Fugl-meyer上肢运动功能、Fugl-meyer下肢运动功能及ADL评分均高于对照组，差异均有统计学意义（P＜0.05）。结论：中西医一体化卒中康复单元模式干预脑卒中后运动障碍患者，能有效改善其运动功能，提高日常生活活动能力，效果优于卒中康复单元模式。
关键词：脑卒中；运动障碍；中西医一体化卒中康复单元；运动功能；日常生活活动能力量表(ADL)
Study of Rehabilitation Unit Pattern of Integrated Chinese and Western Medicine for Stroke on Rehabilitation of Post-Stroke Dyskinesia
Abstract：Objective：To observe the effect of rehabilitation unit pattern of integrated Chinese and western medicine for stroke on rehabilitation of post-stroke dyskinesia.MethodsDivided 90 cases of patients with post-stroke dyskinesia into the treatment group and the control group randomly according to random number table method，45 cases in each group.Based on routine treatment of the department of neurology，both groups
receivedstroke rehabilitation unit pattern for treatment，while the treatment group additionally received the treatment of Chinese medicine.Observed changes of scores of Wolf motor function test(WMFT)，Fugl-Meyer extremity motor function rating scale and activity of daily living scale(ADL)before and after treatment in both groups.ResultsAfter treatment，scores of WMFT，Fugl-Meyer upper limb motor function，Fugl-Meyer lower limb motor function， and ADL were increased when compared with those before treatment， differences being significant(P＜0.05).Scores of WMFT，Fugl-Meyer upper limb motor function，Fugl-Meyer lower limb motor function，and ADL in the treatment group were higher than those in the control group，differences being significant(P＜0.05).ConclusionRehabilitation unit pattern of integrated Chinese and western medicine for stroke on rehabilitation of post-stroke dyskinesia can effectively improve motor function and ADL of patients.Its effect is superior to that of pattern of stroke rehabilitation unit.
Key words：Stroke； Dyskinesia； Rehabilitation unit pattern of integrated Chinese and western medicine； Motor function；Activity of daily living scale(ADL)
收稿日期：
基金项目：国家中医药管理局“十二五”重点专科建设项目[国中医药政发(2012)2号]
