四肢双侧训练对半侧颈髓损伤致偏瘫病人功能恢复的观察

目的 观察四肢双侧训练对半侧颈髓损伤致偏瘫病人的功能恢复效果.方法 将80例半侧颈髓损伤致偏瘫病人,手术后随机分为观察组和对照组,各40例,对照组进行药物治疗和常规的患肢功能训练;观察组进行药物治疗,并进行四肢的双侧功能训练.两组训练前后用美国脊髓损伤协会(ASIA)的脊髓损伤积分评定量表和Barthel指数进行评定.结果 训练前两组Barthel指数和ASIA积分无显著性差异(P＞0.05),经过3个月的双侧训练后,观察组患者的Barthel指数和ASIA积分明显上升,与对照组比较有显著性差异(P＜0.05).结论 四肢双侧训练能促进半侧颈髓损伤致偏瘫病人患肢的功能恢复.

To study the effectiveness of bilateral exercise for the four limbs on hemiplegia patients of injuty of cervical semi-cord

Objective To study the effectiveness of bilateral exercise for the four limbs on hemiplegia patients of injuty of cervical semi-cord.Methods 80 cases post-operation of injuty of hemiplegia patients of cervical semi-cord were randomly divided into observation group and control group,each group was 40 cases.The control groups affected limbs were receved normal exercise and observation groups four limbs were receved bilateral exercise.The ASIA and Barthel evaluated.Results Post-exercise the two groups The ASIA and Bartbel were no differentiation(P＞0.05),after exercise the observation group ASIA and Barthel were better than control group,the differentiation were significantly(P＜0.05).Conclusion The bilateral exercise for the four limbs on hemiplegia patients of injury of cervical semi-cord was can promate the affected limbs functions.