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急性期开始强制性运动疗法对脑梗死患者生活质量的影响
引用本文:禹爱梅,邹玉安,刘晓伟,崔峰,纪蓉,张耀元. 急性期开始强制性运动疗法对脑梗死患者生活质量的影响[J]. 临床荟萃, 2011, 26(13): 1128-1130
作者姓名:禹爱梅  邹玉安  刘晓伟  崔峰  纪蓉  张耀元
作者单位:1. 河北北方学院附属第一医院神经内科,河北,张家口,075000
2. 解放军第二五一医院骨外科,河北张家口,075000
3. 河北北方学院附属第一医院核医学科,河北,张家口,075000
4. 河北北方学院附属第一医院康复科,河北张家口,075000
摘    要:目的 探讨在急性期进行强制性运动疗法(CIMT)对脑梗死患者生活质量的影响.方法 急性期脑梗死患者35例,随机分为CIMT组(n=17)和对照组(n=18).CIMT组限制健侧上肢及手的使用,每天10小时,连续2周,进行患肢及手的强化训练每天2小时,每周5天;对照组不限制健手使用,采用传统的作业疗法每天2小时,每周5天.使用SF-36生活质量量表分别在治疗前、治疗后6个月进行评价.结果 治疗后6个月SF-36生活质量量表评分显示,CIMI组在生理功能、社会功能、精神健康、躯体疼痛、总体健康5个维度的评分均明显高于对照组,生理功能(85±14)分vs(75±15)分、社会功能(85±12)分 vs (77±10)分、精神健康(85±13)分 vs (75±15)分、躯体疼痛(87±11)分 vs (77±13)分、总体健康(89±9)分vs(80±13)分(P<0.05).结论 CIMT适用于急性期脑梗死患者,能明显提高其生活质量,疗效优于传统的康复治疗.

关 键 词:脑梗塞  运动疗法  强制性计划  生活质量

Effect of constraint-induced movement therapy in acute stage on improving quality of life of patients with cerebral infarction
YU Ai-mei , ZOU Yu-an , LIU Xiao-wei , CUI Feng , JI Rong , ZHANG Yao-yuan. Effect of constraint-induced movement therapy in acute stage on improving quality of life of patients with cerebral infarction[J]. Clinical Focus, 2011, 26(13): 1128-1130
Authors:YU Ai-mei    ZOU Yu-an    LIU Xiao-wei    CUI Feng    JI Rong    ZHANG Yao-yuan
Affiliation:YU Ai-mei1a,ZOU Yu-an1b,LIU Xiao-wei2,CUI Feng1b,JI Rong1a,ZHANG Yao-yuan1c 1a.Department of Neurology,1b.Department of Nuclear Medicine,1c.Department of Rehabilitation Medicine,the First Affiliated of Hebei North University,Zhangjiakou 075000,China,2.Department of Orthopaedics,No.251 Hospital of Chinese People's Liberation Army
Abstract:Objective To investigate the effects of constraint-induced movement therapy(CIMT) in acute stage on improving the quality of life of patients with cerebral infarction.Methods Thirty-five patients with acute cerebral infarction were randomized to two groups:CIMT group(n=17) and control group(n=18).In CIMT group,patients were constrained the use of unaffected upper extremities and hands 10 h/d,lasting for two weeks,and received intensive training of 2 h/d,5 d/w.In control group,patients received traditional r...
Keywords:brain infarction  exercise therapy  mandatory programs  quality of life  
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