作业治疗在脑卒中偏瘫患者康复中的疗效

目的观察作业治疗在脑卒中偏瘫患者康复中的疗效。方法40例脑卒中后偏瘫患者随机分成两组,治疗组20例,采用包含作业治疗的综合康复训练治疗;对照组20例,采用无作业治疗的其它康复治疗。对两组患者的日常生活能力以Barthel指数分级评定,进行组间及自身前后对照。结果治疗前后,两组Barthel指数分级评定均有明显差异(P<0.01),治疗组优于对照组,治疗组患者达到B级的由0％提高到60％,高于对照组的30％,结论包含作业治疗在内的综合康复训练治疗是治疗脑卒中偏瘫的较好方法。

Efficacy of occupational therapy to stroke patients with hemiplegia in rehabilitation

Objective To observe the efficacy of occupational therapy to stroke patients with hemiplegia during rehabilitation. Methods Forty stroke patients in rehabilitation were randomly divided into treatment group (20 cases) and control group (20 cases) ,occupational therapy was given only to the treatment group. The Barthel index of ADL in both groups were measured before- and after-treatment respectively. Results The Barthel index in both groups were improved significantly after treatment (P <0. 01) ,but the efficacy of treatment group was superior to control group. The Barthel index improved to B grade up to 60% in treatment group, and 30% in control group. Conclusion Comprehensive rehabilitation including occupational therapy is preferable to treat stroke patients with hemiplegia.