音乐结合强制性使用运动疗法治疗脑梗塞上肢运动障碍疗效观察

目的：探讨音乐疗法结合强制性使用运动疗法治疗脑梗塞上肢运动功能障碍的疗效及机理。方法：将120例脑梗塞亚急性期上肢功能障碍患者随机分为观察组（50例）和对照组（50例），两组患者在入院后均接受常规康复训练及内科治疗；2周后，对照组在常规康复训练、治疗基础上给予强制性使用运动疗法治疗，观察组则给予音乐疗法结合强制性使用运动疗法，干预14天后观察两组患者上肢动作研究量表（ARAT）评分、Fugl．Meyer量表（FMA）评分、汉密尔顿焦虑量表（HAMA）评分的改善情况。结果：干预14天后，观察组ARAT评分、FMA评分均显著高于对照组（P〈0．01），HAMA评分显著低于对照组（P〈0.01）。结论：音乐结合强制性使用运动疗法可有效改善脑梗塞亚急性期上肢功能障碍及焦虑状态，值得临床推广应用。

Efficacy Observation on Music Therapy Combined with Constraint-Induced Movement Therapy for Upper Extremity Dyskinesia after Cerebral Infarction

Objective： To investigate the efficacy and mechanism of music therapy combined with constraint-induced movement therapy （CIMT） for upper extremity dyskinesia after cerebral infarction. Methods： 120 cases of patients with upper extremity dyskinesia at sub-acute phase of cerebral in- farction were randomly divided into observation group （50 cases） and control group （50 cases）, both groups were received conventional rehabilitation training and medical treatment after hospitalization; 2 weeks later, on the basis of conventional rehabilitation training and medical treatment, the con- trol group treated by CIMT, while the observation group by music therapy combined with CIMT, then observed the improvement ofARAT, FMA and HAMA scores of two groups after 14 days. Results： After 14 days＇ intervention, the ARAT and FMA scores of observation group were both signifi- cantly higher than those of control group （P〈0.01 ）, while HAMA score was significantly lower than that of control group （P〈0.01）. Conclusion： Mu- sic therapy combined with CIMT can effectively improve upper extremity dyskinesia and anxiety at sub-acute phase of cerebral infarction, which de- serves clinical promotion and application.