上肢康复机器人训练对脑卒中患者上肢功能的疗效观察(1)
【摘要】 目的：探究上肢康复训练对于脑卒中患者上肢运动功能恢复的效果。方法：选取本院2015年7月-2016年11月收治的52例伴有上肢功能障碍的脑卒中患者，根据随机数字法分成对照组和治疗组，每组各26例。治疗组接受上肢康复机器人治疗，治疗持续30 min/次。对照组利用Bobath疗法提高患者上肢肌力，5 d/周，连续治疗8周。比较两组治疗前后FMA-UE和MBI评分。结果：经过8周的康复训练，两组患者病情均有所好转，对照组Fugl-Meyer评分为(35.24±4.33)分，治疗组为(42.68±6.37)分(P<0.05)；对照组MBI为(75.34±16.67)分，治疗组为(81.83±10.89)分(P<0.05)。治疗组轻、中度上肢功能障碍的病例84.7%少于对照组42.3%(P<0.05)。结论：治疗组在针对脑卒中伴上肢功能障碍的患者的康复过程中能更好地提高患者上肢运动功能，改善患者的生活质量。
【关键词】 脑卒中； 上肢康复机器人； 运动功能
Upper Limb Rehabilitation Robot Training on Stroke Patients with Upper Limb Function Recovery/ZHANG Xiao-hua，ZENG Yuan-yuan，WANG Yu-long.//Medical Innovation of China，2017，14(22)：029-031
【Abstract】 Objective：To explore the upper extremity rehabilitation robot training for cerebral apoplexy patients the effect of the upper limb movement function recovery.Method：52 cases of stroke patients with upper limb dysfunction in our hospital were collected from July 2015 to November 2016，they were randomly divided into control group and treatment group，26 cases in each group.The treatment group was treated with the upper limb rehabilitation robot，each time lasted 30 min.The control group was given Bobath therapy，5 days a week，for 8 weeks.FMA-UE and MBI scores of two groups were compared before and after treatments.Result：After 8 weeks of rehabilitation training，condition improved obviously，the Fugl-Meyer score of control group was (35.24±4.33)score，treatment group was (42.68±6.37)score(P<0.05).The MBI in control group was (75.34±16.67)score，treatment group was (81.83±10.89)score(P<0.05).The mild and moderate upper limb dysfunction cases in treatment group was 84.7% less than the control group 42.3%(P<0.05).Conclusion：The treatment group on the cerebral apoplexy patients with upper limb dysfunction can better improve the rehabilitation process of patients with upper limb motor function，improve patients’ quality of life.
【Key words】 Stroke； Upper limb rehabilitation robot； Motor function
First-author’s address：Nan’ao People’s Hospital of Dapeng New District，Shenzhen 518000，China
doi：10.3969/j.issn.1674-4985.2017.22.008
腦卒中(Stroke)是脑中风的学名，是一种突发性的脑组织损伤疾病，由脑部血管破裂或阻塞所引起[1]。目前我国每年新发脑卒中约200万人，发病率以接近9%的速度上升，脑卒中的致死率高，同时也有很高的致残率，其中运动功能障碍最常见，超过85%的脑卒中患者出现单侧瘫痪，约69%的患者表现出不同程度的上肢运动功能障碍[2-4]。这些功能障碍降低了患者的生活质量，更可能会导致患者的心理疾病，导致社交障碍[5]。目前有一些治疗上肢功能障碍的手段，如虚拟现实技术、电刺激法、生物反馈法、经颅直流电刺激法等已经用于脑卒中患者[6-8]。通过机器人对上肢功能障碍的患者进行康复训练是目前的研究热点，上肢康复机器人通过机械臂带动患者的肢体重复康复训练动作，以加速刺激和重建肢体的神经系统，从而恢复肢体的运动功能[9-11]。
1 资料与方法, 百拇医药(张小华 曾媛媛 王玉龙)
【关键词】 脑卒中； 上肢康复机器人； 运动功能
Upper Limb Rehabilitation Robot Training on Stroke Patients with Upper Limb Function Recovery/ZHANG Xiao-hua，ZENG Yuan-yuan，WANG Yu-long.//Medical Innovation of China，2017，14(22)：029-031
【Abstract】 Objective：To explore the upper extremity rehabilitation robot training for cerebral apoplexy patients the effect of the upper limb movement function recovery.Method：52 cases of stroke patients with upper limb dysfunction in our hospital were collected from July 2015 to November 2016，they were randomly divided into control group and treatment group，26 cases in each group.The treatment group was treated with the upper limb rehabilitation robot，each time lasted 30 min.The control group was given Bobath therapy，5 days a week，for 8 weeks.FMA-UE and MBI scores of two groups were compared before and after treatments.Result：After 8 weeks of rehabilitation training，condition improved obviously，the Fugl-Meyer score of control group was (35.24±4.33)score，treatment group was (42.68±6.37)score(P<0.05).The MBI in control group was (75.34±16.67)score，treatment group was (81.83±10.89)score(P<0.05).The mild and moderate upper limb dysfunction cases in treatment group was 84.7% less than the control group 42.3%(P<0.05).Conclusion：The treatment group on the cerebral apoplexy patients with upper limb dysfunction can better improve the rehabilitation process of patients with upper limb motor function，improve patients’ quality of life.
【Key words】 Stroke； Upper limb rehabilitation robot； Motor function
First-author’s address：Nan’ao People’s Hospital of Dapeng New District，Shenzhen 518000，China
doi：10.3969/j.issn.1674-4985.2017.22.008
腦卒中(Stroke)是脑中风的学名，是一种突发性的脑组织损伤疾病，由脑部血管破裂或阻塞所引起[1]。目前我国每年新发脑卒中约200万人，发病率以接近9%的速度上升，脑卒中的致死率高，同时也有很高的致残率，其中运动功能障碍最常见，超过85%的脑卒中患者出现单侧瘫痪，约69%的患者表现出不同程度的上肢运动功能障碍[2-4]。这些功能障碍降低了患者的生活质量，更可能会导致患者的心理疾病，导致社交障碍[5]。目前有一些治疗上肢功能障碍的手段，如虚拟现实技术、电刺激法、生物反馈法、经颅直流电刺激法等已经用于脑卒中患者[6-8]。通过机器人对上肢功能障碍的患者进行康复训练是目前的研究热点，上肢康复机器人通过机械臂带动患者的肢体重复康复训练动作，以加速刺激和重建肢体的神经系统，从而恢复肢体的运动功能[9-11]。
1 资料与方法, 百拇医药(张小华 曾媛媛 王玉龙)