| 刘 敏,黄兆民,蒋红星.高压氧配合康复训练对脑卒中肩手综合征的疗效观察[J].中国康复医学杂志,2008,23(2):123~125 |
| 高压氧配合康复训练对脑卒中肩手综合征的疗效观察 点此下载全文 |
| 刘 敏 黄兆民 蒋红星 |
| 中南大学湘雅二医院康复科，湖南长沙,410011 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 目的:观察高压氧配合康复训练对脑卒中后肩手综合征的治疗效果。方法:63例脑卒中后肩手综合征患者随机分为两组，对照组（31例）采用常规药物和康复训练，观察组（32例）在对照组基础上加高压氧治疗，治疗时间为4周。两组在治疗前后采用目测类比评分法（VAS）、改良的Fugl-Meyer量表、Barthel指数分别评定疼痛、水肿程度、关节活动范围、上肢运动功能和日常生活活动能力（ADL），评定临床疗效。结果:两组治疗后偏瘫侧肩痛、水肿、关节活动度、Fugl-Meyer评分及Barthel指数较治疗前均有显著改善（P＜0.01，P＜0.05），观察组明显优于对照组（P＜0.05），且观察组临床疗效总有效率亦明显优于对照组（治疗组96.87%，对照组74.19 %，P＜0.05）。结论:高压氧配合康复训练对脑卒中后肩手综合征具有更好疗效。 |
| 关键词：肩手综合征 脑卒中 高压氧 康复训练 |
| The effect of hyperbaric oxygenation in combination with rehabilitation training in patients with shoulder-hand syndrome after stroke Download Fulltext |
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| Dept. of Rehabilitation Medicine, The Second Xiangya Hospital,Central South University, Changsha, 410011 |
| Fund Project: |
| Abstract: |
| Objective:To study the effect of hyperbaric oxygenation in combination with rehabilitation training in patients with shoulder-hand syndrome after stroke. Method: Sixty-three patients with shoulder-hand syndrome after stroke were randomly divided into two groups: a control group (31cases) treated with conventional treatment (rehabilitation training and routine medications) and an experimental group (32 cases) treated with hyperbaric oxygenation in combination with conventional treatment, the therapeutic course was 4 weeks. Visual analogue scale(VAS), modified Fugl-Meyer assessment（mFMA）and Barthel index (BI) were used to assess the degree of pain and edema, the range of motion(ROM) of joint, the movement function of upper limb and hand and activities of daily living(ADL), and the total clinical efficacy were evaluated. Result:Compared with that before treatment,VAS scores, edema of affected limb, ROM of joint, movement function of upper limb and ADL were obviously improved after treatment in both groups（P＜0.01，P＜0.05）. However, the effects in experimental group was significantly superior to that in control group(P＜0.05). The total efficacy rate was 96.87 % in experimental group which was higher than 74.19% in control group(P＜0.05).Conclusion:Hyperbaric oxygenation combined with rehabilitation training has preferable effect on shoulder-hand syndrome after stroke. |
| Keywords:shoulder-hand syndrome stroke hyperbaric oxygenation rehabilitation training |
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