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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。
Objective: To observe the effect of limb spasm on nerve function and daily living ability. Methods: We retrospectively reviewed 584 undergraduate inpatients from March 2013 to June 2014. The patients were assessed for spasticity by MAS at 1, 3, and 6 months respectively. NIHSS and ADL were used to assess muscle tone, neurological function and daily Self-care ability. Results: The NIHSS score and Bathel index of patients with mild spasticity and moderate-severe spasticity in patients with spasm and spasticity at 1, 3 and 6 months were all significantly different (P <0.05). CONCLUSION: Limb spasms have a negative impact on the neurological function and daily living ability of patients with stroke at 1, 3 and 6 months. The worse the spasm, the worse the neurological function and ADL ability.