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目的:探讨健侧上肢训练对早期脑卒中偏瘫患者功能恢复的影响。方法:早期脑卒中偏瘫患者38例,随机分为对照组和观察组,各19例,对照组重点进行患侧上肢治疗训练,观察组着重健侧上肢的功能、精细协调、控制能力等训练,对患侧上肢主要予以保护,注意体位的摆放和感觉的输入。两组均于治疗前和治疗后两周进行FIM评分及患侧上肢Brunnstrom分级。结果:治疗后,观察组的FIM评分与治疗前相比有极显著性差异(P<0.001),对照组的FIM评分与治疗前相比有显著性差异(P<0.05),治疗后观察组与对照组相比差异有显著性(P<0.05),两组患者患侧上肢Brunnstrom分级,相比差异无显著性。结论:两组训练方法均能改善早期偏瘫患者的功能,但健侧上肢训练对改善早期偏瘫患者的功能独立程度更明显。
Objective: To investigate the effect of contralateral upper limb training on hemiplegic stroke patients with functional recovery. Methods: Thirty-eight stroke patients with hemiplegia were randomly divided into control group and observation group, with 19 cases in each group. The control group focused on the training of affected upper limbs. The observation group focused on the function, fine coordination and control ability of upper limbs. Mainly to the ipsilateral upper limb to be protected, pay attention to body position and feel the input. FIM scores and Brunnstrom classification of affected upper limbs were measured in both groups before treatment and two weeks after treatment. Results: After treatment, the FIM score in the observation group was significantly different from that before treatment (P <0.001), and the FIM score in the control group was significantly different from that before treatment (P <0.05). After treatment, the observation group Compared with the control group, the difference was significant (P <0.05). Brunnstrom classification of upper limbs in the two groups showed no significant difference. Conclusion: Both methods can improve the function of patients with early hemiplegia, but the contralateral upper limb training is more effective in improving the functional independence of patients with early hemiplegia.