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痉挛对脑卒中恢复期患者神经功能及ADL能力影响

Spasticity Effects on Neural Function and Ability of Daily Living in Stroke Patients

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【作者】 杨宇琦何静杰崔利华刘丽旭山磊胡雪岩杨凌宇刘平吴小莉高飞黄岳

【Author】 YANG Yu-qi;HE Jing-jie;CUI Li-hua;China Rehabilitation Research Center;

【机构】 中国康复研究中心

【摘要】 目的:动态观察肢体痉挛对神经功能及日常生活能力的影响。方法:回顾性观察2013年3月-2014年6月本科住院患者584例,分别在病程1、3及6个月时行痉挛MAS评定、NIHSS评定及ADL评定患者的肌张力、神经功能及日常生活自理能力。结果:病程1、3及6个月时,无痉挛与有痉挛患者、轻度痉挛与中重度痉挛患者NIHSS评分、Bathel指数比较,差异均有统计学意义(P<0.05)。结论:肢体痉挛对脑卒中患者病程1、3及6个月神经功能及日常生活自理能力均有负面影响,痉挛越重,神经功能及ADL能力越差。

【Abstract】 Objective: To observe spasticity influence on neural function and ability of daily living in stroke patients. Method: To retrospectively observe, from March 2013 to June 2014, 584 inpatients in our department, and evaluate respectively, in the course of 1 month, 3 months and 6 months, spasticity MAS assessment, NIHSS assessment, and Barthel for ADL in patients with spastic muscle tension and neural function and ability of daily living. Result: At the course of 1 month, 3 months and 6 months, result of NIHSS assessment and Barthel between spasticity and without spasticity patients, moderate and severe spasticity patients showed that there was significant difference(P<0.05). Conclusion: Spasticity in stroke patients with 1 month, 3 months and 6 months have a negative impact on neural function and ability of daily living, more severe spasticity, neural function and ability of daily living is poor.

  • 【文献出处】 中国医学创新 ,Medical Innovation of China , 编辑部邮箱 ,2015年22期
  • 【分类号】R743.3
  • 【被引频次】8
  • 【下载频次】101
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