标题：生活辅助器具对脑梗死肢体偏瘫患者日常活动能力的影响

      作者：张 奇，刘春雨
    (桂林医学院附属医院康复科/体检中心，广西 桂林 541001)

      卷次： 2012年23卷24期

      【摘要】 目的 探讨生活辅助器具对脑梗死肢体偏瘫患者日常生活活动能力的影响。方法 选择2010年1
月至2012年1月在我院康复科住院治疗的98例脑梗死肢体偏瘫患者为研究对象，应用随机数字表法将本研究入
选患者分为常规康复组和康复干预组，常规康复组患者给予心理干预、运动疗法训练和手指操训练，而康复干预
组患者在常规康复训练基础上结合生活辅助器具进行训练，分别于入组时及入院后1个月对患者进行自编问卷
调查、改良Barthel指数评定表和日常生活能力评分量表(ADL)测评，比较常规康复组和康复干预组患者的日常
生活活动能力水平和不良反应发生率。结果 治疗1个月后，常规康复组和康复干预组患者MBI评分均高于治
疗前，且康复干预组患者MBI评分明显高于常规康复组(P<0.05)；同时，常规康复组和康复干预组患者ADL评分
均低于治疗前，且康复干预组患者MBI评分明显低于常规康复组(P<0.05)。结论 结合生活辅助器具对脑梗死
肢体偏瘫患者进行康复训练能够明显改善其神经功能缺损程度，减轻其残疾程度，提高患者的日常生活能力，值
得进一步推广运用。

      【关键词】 生活辅助器具；脑梗死；日常生活活动能力

      【中图分类号】 R743.33 【文献标识码】 A 【文章编号】 1003—6350（2012）24—076—03<

br>Influence of the living assistive devices on the ability of daily life in the elderly stroke patients with hemiplegia.
ZHANG Ji, LIU Chun-yu.
Rehabilitation Families/Medical Center in Affiliated Hospital to Guilin Medical College, Guilin
541001, Guangxi, CHINA

【Abstract】 Objective To investigate the effect of the living assistive device on the ability of daily life in the
cerebral infarction patients with hemiplegia. Methods The clinical data of 98 cerebral infarction patients with hemiplegia who
were treated from January 2010 to January 2012 were collected, and divided into conventional rehabilitation group and rehabili-
tation intervention group by using a random number table. The cerebral infarction patients with hemiplegia in the conventional
rehabilitation group were given neurological conventional processing, while the cerebral infarction patients with hemiplegia in
the rehabilitation intervention group were given mental intervention, exercise therapy training and finger exercise training on the
basis of the treatments for the conventional rehabilitation group, then they were investigated by self-made questionnaire survey,
improved barthel index and activities of daily life at the beginning and after one month. Their ability of daily life
and adverse reaction were evaluated. Results After one month, the MBI scores were higher than that at the be-
ginning (P<0.05), the MBI scores were higher in the rehabilitation intervention group than that in the conven-
tional rehabilitation group (P<0.05), and the ADL scores were lower in the rehabilitation intervention group than
that in the conventional rehabilitation group (P<0.05). Conclusion Early rehabilitation training combined with living
assistive device can obviously improve the gastric regurgitation neural function defect, reduce the degree of disability
and improve ability of daily life.

      【Key words】 Living assistive device; Cerebral infarction; Ability of daily life