本文選題：腦卒中 + 偏癱��； 參考：《重慶醫(yī)科大學(xué)學(xué)報(bào)》2017年10期

【摘要】：目的:探討以任務(wù)導(dǎo)向性訓(xùn)練(task oriented training,TOT)為主的康復(fù)訓(xùn)練對(duì)腦卒中偏癱骨骼肌含量、肌力以及肢體功能的影響。方法:按照入院病例號(hào)對(duì)患者進(jìn)行編號(hào),根據(jù)隨機(jī)數(shù)字表,將240例腦卒中患者隨機(jī)分成2組,每組120例。并安排在兩個(gè)康復(fù)室進(jìn)行康復(fù)訓(xùn)練。對(duì)照組給予常規(guī)康復(fù)訓(xùn)練方法,以抑制異常模式等方法促進(jìn)神經(jīng)修復(fù);觀察組在此基礎(chǔ)上將任務(wù)導(dǎo)向性訓(xùn)練模式貫穿于康復(fù)訓(xùn)練之中,已指導(dǎo)和具體化康復(fù)內(nèi)容。于康復(fù)治療前1天和治療1個(gè)月后測(cè)定患者上、下肢骨骼肌含量、肢體肌力情況,并評(píng)估患者肢體功能以及日常生活活動(dòng)能力。結(jié)果:康復(fù)訓(xùn)練后,觀察組肢體骨骼肌含量和肌力結(jié)果分別為(8.8±0.6)kg和(362.7±24.6)N,均優(yōu)于訓(xùn)練前和訓(xùn)練后對(duì)照組測(cè)定結(jié)果(P0.05);觀察組患者訓(xùn)練后Fugl-Meyer運(yùn)動(dòng)功能評(píng)分(Fugl-Meyer assessment of sensorimotor recovery,FMA)和Barthel指數(shù)(the Barthel index,MBI)評(píng)分分別為(84.8±8.6)分和(82.7±5.6)分,均優(yōu)于訓(xùn)練前和訓(xùn)練后對(duì)照組評(píng)分結(jié)果(P0.05)。結(jié)論:TOT可將康復(fù)訓(xùn)練內(nèi)容細(xì)致化和具體化,并提高患者接受康復(fù)訓(xùn)練的積極主動(dòng)性,增強(qiáng)骨骼肌含量和肌力,提高運(yùn)動(dòng)的協(xié)調(diào)性。
[Abstract]:Objective: to investigate the effects of task oriented training on skeletal muscle content, muscle strength and limb function in stroke hemiplegic patients. Methods: 240 stroke patients were randomly divided into two groups, 120 cases in each group. Arrangements were made for rehabilitation training in two rehabilitation rooms. In the control group, routine rehabilitation training was given to promote nerve repair by inhibiting abnormal pattern, and the task-oriented training model was used in the rehabilitation training on the basis of which, the rehabilitation content was guided and concretized in the observation group. The contents of skeletal muscle and muscle strength of lower limbs were measured 1 day before rehabilitation and 1 month after treatment. The limb function and activities of daily living were evaluated. Results: after rehabilitation training, The results of skeletal muscle content and muscle strength in the observation group were 8.8 鹵0.6)kg and 362.7 鹵24.6Nrespectively, which were better than those of the control group before and after training (P 0.05), and the Fugl-Meyer motor function scores of the patients in the observation group were 84.8 鹵8.6 and 82.7 鹵5.6, respectively, and that of the Barthel index were 84.8 鹵8.6 and 82.7 鹵5.6, respectively. All the scores were better than those of the control group before and after training (P 0.05). ConclusionTwo tot can make the rehabilitation training more detailed and concrete, enhance the active activity of rehabilitation training, enhance the skeletal muscle content and muscle strength, and improve the coordination of exercise.
【作者單位】： 山東省昌邑市人民醫(yī)院神經(jīng)內(nèi)二科;
【分類(lèi)號(hào)】：R493;R743.3

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