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目的 运用脑卒中康复运动功能评定量表 (strokerehabilitationassessmentofmovement,STREAM)比较脑卒中偏瘫患者患侧上、下肢运动功能损害程度、恢复结果以及不同临床特征偏瘫患者运动功能恢复的差异。方法 用STREAM方法对 1 1 4例脑卒中偏瘫患者治疗前、后进行评定并进行统计分析。结果康复治疗前、后STREAM平均上、下肢运动分无明显差异 (P >0 .0 5) ,平均下肢改变值和恢复效率高于上肢 (P <0 .0 5)。病程≤ 1个月的脑卒中患者其治疗后的平均STREAM总分、改变值和效率均高于病程 >1个月的患者 (P <0 .0 5)。年轻患者 (<65岁 )的平均STREAM改变值和恢复效率均高于年老组 (≥ 65岁 )。脑出血患者平均STREAM改变值高于脑梗死患者 (P <0 .0 5)。男、女患者间以及不同偏瘫侧患者间的运动功能恢复结果无明显差异 (P >0 .0 5)。结论 脑卒中偏瘫患者偏瘫侧下肢运动功能恢复的幅度和速度都高于上肢。早期康复的结果和治疗效率要好于延迟康复的患者。年轻患者运动功能恢复的幅度和速度要优于年老患者。故在康复治疗初期 ,制定训练计划和进行训练时应考虑脑卒中患者偏瘫侧上、下肢恢复的差异以及患者病程、年龄等因素的差异
Objective To compare the degree of motor function impairment of upper and lower extremities, the recovery results and the recovery of motor function in patients with hemiplegia after stroke with strokerehabilitationassessmentofmovement (STREAM). Methods One hundred and seventy four patients with stroke hemiplegia were evaluated by STREAM before and after treatment, and were statistically analyzed. Results Before and after rehabilitation, there was no significant difference in upper and lower extremity movements of STREAM (P> 0.05). The average lower extremity changes and recovery rate were higher than those of the upper limbs (P <0.05). The average STREAM score, change and efficiency after stroke in patients with stroke ≤ 1 month were higher than those in patients with disease> 1 month (P <0.05). The mean change in STREAM and recovery in young patients (<65 years) were higher than in the elderly (≥65 years). The mean change of STREAM in patients with cerebral hemorrhage was higher than that in patients with cerebral infarction (P <0.05). There was no significant difference in motor function recovery between male and female patients and patients with different hemiparetic side (P> 0.05). Conclusion The magnitude and speed of motor function recovery of hemiparetic hemipareticus in stroke patients are higher than that of upper limbs. Early rehabilitation and treatment efficiency is better than delayed rehabilitation patients. Young patients with motor function recovery rate and speed is superior to older patients. Therefore, in the early stages of rehabilitation, the development of training programs and training should be considered in patients with stroke hemiplegia side and lower limb recovery differences as well as the patient’s duration, age and other factors