摘要
目的：研究压力治疗对偏瘫后患手水肿的治疗作用。方法：将４５ 例有患手水肿的偏瘫患者随机分成３ 组，两组为治疗组，第１ 组（压力组） 长时间穿戴压力手套；第２ 组（ 循环组） 采用顺序循环治疗仪进行治疗，压力为５０ｍ ｍＨｇ，每日治疗１ 次，每次为３０ｍｉｎ ；第３ 组为对照组，不用压力治疗。３ 组均按常规接受体疗和作业治疗，观察时间为２５ 天。采用患手肿胀的体积、疼痛的目测类比定级及掌指关节活动度对疗效进行评估。结果：压力组和循环组患手肿胀程度、疼痛的目测类比定级均明显改善（Ｐ＜ ０．０１），掌指关节活动度能较好保持（ Ｐ＞ ０ ．０５）；压力组在消肿和止痛方面作用较持久（ Ｐ＞０ ．０５），循环组容易反弹（ Ｐ＜ ０．０１）。对照组患手肿胀程度和疼痛的目测类比定级均无明显改善（ Ｐ＞０ ．０５），掌指关节活动度则明显变小（Ｐ＜ ０．０１）。结论：压力治疗对偏瘫手水肿具有较好的治疗作用。
Objective: To study effects of pressure treatment on dropsy of the affected hand in stroke patients.Method:Forty five cases of stroke patients with affected hand dropsy were subdivided into three groups, according to their numbers randomly. Two groups were treatment groups, the patients in group 1 took pressure therapy with wearing pressure glove, group 2 were treated by sequential circulator. The other one was control group, without any pressure therapy. All patients accept physical therapy and occupational therapy. The term was 25 days. The volume of affected hand 、Visual Analogus Scale and ROM of II V metacarpophalangeal were measured to evaluate the outcome.Result:There were good effect on decreasing dropsy and pain, and improving ROM of metacarpophalangeal in group 1 and group 2( P<0.01, P <0.01). There was no change in dropsy or pain in patients of group 3, and they had less ROM of metacarpophalangeal than the two treatment groups( P <0.01).Conclusion: Pressure therapy is an effective treatment on affected hand dropsy with stroke. Author′s address\ Dept. of Rehabil. The First Affliated Hospital of Sun Yat sen University of Medical Sciences,Guangzhou,510080
出处
《中国康复医学杂志》
CAS
CSCD
2000年第1期18-20,共3页
Chinese Journal of Rehabilitation Medicine
关键词
偏瘫
中风
手肿胀
关节活动度
压力疗法
Stroke
Hand dropsy
Pressure treatment
Visual Analogus Scale
Range of motion
