摘要
目的:观察高压氧配合康复训练对脑卒中后肩手综合征的治疗效果。方法:63例脑卒中后肩手综合征患者随机分为两组,对照组(31例)采用常规药物和康复训练,观察组(32例)在对照组基础上加高压氧治疗,治疗时间为4周。两组在治疗前后采用目测类比评分法(VAS)、改良的Fugl-Meyer量表、Barthel指数分别评定疼痛、水肿程度、关节活动范围、上肢运动功能和日常生活活动能力(ADL),评定临床疗效。结果:两组治疗后偏瘫侧肩痛、水肿、关节活动度、Fugl-Meyer评分及Barthel指数较治疗前均有显著改善(P<0.01,P<0.05),观察组明显优于对照组(P<0.05),且观察组临床疗效总有效率亦明显优于对照组(治疗组96.87%,对照组74.19%,P<0.05)。结论:高压氧配合康复训练对脑卒中后肩手综合征具有更好疗效。
Objective：To study the effect of hyperbaric oxygenation in combination with rehabilitation training in patients with shoulder-hand syndrome after stroke. Method： Sixty-three patients with shoulder-hand syndrome after stroke were randomly divided into two groups： a control group （31cases） treated with conventional treatment （rehabilitation training and routine medications） and an experimental group （32 cases） treated with hyperbaric oxygenation in combination with conventional treatment, the therapeutic course was 4 weeks. Visual analogue scale （VAS）, modified Fugl-Meyer assessment（mFMA）and Barthel index （BI） were used to assess the degree of pain and edema, the range of motion （ROM） of joint, the movement function of upper limb and hand and activities of daily living （ADL）, and the total clinical efficacy were evaluated. Result：Compared with that before treatment,VAS scores, edema of affected limb, ROM of joint, movement function of upper limb and ADL were obviously improved after treatment in both groups （P〈0.01,P〈0.05）. However, the effects in experimental group was significantly superior to that in control group （P〈0.05）. The total efficacy rate was 96.87 % in experimental group which was higher than 74.19% in control group （P〈0.05）.Conclusion：Hyperbaric oxygenation combined with rehabilitation training has preferable effect on shoulder-hand syndrome after stroke.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2008年第2期123-125,共3页
Chinese Journal of Rehabilitation Medicine
关键词
肩手综合征
脑卒中
高压氧
康复训练
shoulder-hand syndrome
stroke
hyperbaric oxygenation
rehabilitation training
