量化康复训练治疗脑卒中后肩手综合征的效果及对功能恢复的影响

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目的:分析量化康复训练治疗脑卒中后肩手综合征(SHSAS)的临床效果及对功能恢复的影响。方法:抽取2018年3月至2020年3月南阳市第一人民医院收治的SHSAS患者240例,按随机数字表法分为研究组与对照组,每组120例。对照组采用常规康复训练治疗,研究组采用量化康复训练治疗。比较两组康复效果、关节痉挛评分、Fugl-Meyer运动功能测评法(FMA)评分及日常生活能力(ADL)评分。结果:研究组康复锻炼依从率(95.00%,114/120)高于对照组(85.83%,103/120),差异有统计学意义(n P<0.05)。训练后,两组肘关节、腕关节痉挛评分均较治疗前降低,且研究组肘关节、腕关节痉挛评分低于对照组(n P<0.05)。训练后,两组FMA评分较训练前升高,ADL评分较训练前降低,且研究组FMA评分高于对照组,ADL评分低于对照组(n P<0.05)。n 结论:量化康复训练治疗SHSAS效果显著,可改善患者关节痉挛情况和上肢运动功能,提高日常生活能力。“,”Objective:To analyze the effect of quantitative rehabilitation training on patients with shoulder-hand syndrome after stroke (SHSAS) and its influence on functional recovery.Methods:A total of 240 SHSAS patients in Nanyang First People’s Hospital from March 2018 to March 2020 were selected and divided into study group and control group by random number table method, with 120 cases in each group. The control group was treated by conventional rehabilitation training. The study group was treated by quantitative rehabilitation training. The rehabilitation effect, joint spasm score, Fugl-Meyer assessment scale (FMA) score, activities of daily living (ADL) score were compared between the two groups.Results:The compliance rate of rehabilitation exercise in the study group was 95.00% (114/120), higher than the 85.83% (103/120) in the control group (n P<0.05). After training, the scores of elbow joint and wrist joint spasm in the two groups were lower than those before treatment, and the scores of elbow joint and wrist joint spasm in the study group were lower than those in the control group (n P<0.05). After training, the FMA scores of the two groups were higher than those before training, and the ADL scores were lower than those before training, and the FMA score of the study group was higher than that of the control group, the ADL score was lower than that of the control group (n P<0.05).n Conclusions:Quantitative rehabilitation training for SHSAS patients has a significant effect, which can improve joint spasm and upper limb motor function, and improve the ability of daily living.
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