文章摘要
王冉,张英,郝赤子,龚瑜,廖维靖.远程康复系统对脑卒中出院患者上肢功能的影响[J].中国康复,2020,35(10):522-525
远程康复系统对脑卒中出院患者上肢功能的影响
Effect of telerehabilitation system on upper extremity function of discharged stroke patients
  
DOI:
中文关键词: 脑卒中  远程康复  上肢功能
英文关键词: stroke  telerehabilitation  upper extremity function
基金项目:
作者单位
王冉 武汉大学中南医院康复医学科武汉 430071 
张英 武汉大学中南医院康复医学科武汉 430071 
郝赤子 武汉大学中南医院康复医学科武汉 430071 
龚瑜 武汉大学中南医院康复医学科武汉 430071 
廖维靖 武汉大学中南医院康复医学科武汉 430071 
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中文摘要:
      目的:观察远程康复系统对脑卒中出院患者上肢功能的影响。方法:将38例脑卒中出院患者随机分为研究组(n=19)和对照组(n=19)。研究组接受远程康复系统方案,对照组给予常规家庭康复方案,治疗4周,随访4周。在出院时、治疗后和随访时(治疗结束4周后),采用上肢Fugl-Meyer评分法(FMA-UE)、Caroll上肢功能测试(UEFT)和改良Barthel指数(MBI)评定患者上肢功能和日常生活能力,同时采用Zarit护理者负担量表(ZBI)评定患者家属的照顾负担。结果:治疗后和随访时,2组患者FMA-UE与UEFT评分的时间效应和交互效应显著(P<0.05),MBI与ZBI评分的时间效应显著(P<0.05)。2组患者FMA-UE、UEFT和MBI评分均较出院时呈持续增高(均P<0.05),ZBI评分均较出院时呈持续下降(均P<0.05);研究组FMA-UE在治疗后和随访时均优于对照组(均P<0.05),研究组UEFT评分在随访时优于对照组(P<0.05)。结论:远程康复系统可有效改善脑卒中出院患者的上肢功能。
英文摘要:
      Objective: To investigate the effect of telerehabilitation system on upper extremity function of discharged stroke patients. Methods: Thirty-eight discharged stroke patients were randomly assigned into experiment group (n=19) and control group (n=19), respectively receiving telerehabilitation program and routine family rehabilitation program for 4 weeks. They were assessed with Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Upper Extremity Functional Test (UEFT) and Modified Barthel Index (MBI). The families of patients were evaluated with Zarit Caregiver Burden Interview (ZBI) before discharge, after 4 weeks of treatment (after treatment) and during the follow-up period. Results: There was significant difference in time effect and interaction effect of FMA UE and UEFT scores in both groups (P<0.05). And time effect of MBI and ZBI scores in both groups also had statistically significant difference (P<0.05). FMA-UE, UEFT and MBI scores of patients in two groups were continuously increased (all P<0.05), and ZBI scores were continuously decreased (both P<0.05). FMA-UE scores in the experiment group were improved as comperde with those in the control group after treatment and during the follow-up period (both P<0.05), and UEFT scores in the experiment group were improved as comperde with those in the control group during the follow-up period (P<0.05). Conclusion: The telerehabilitation system can effectively improve the upper extremity function of discharged stroke patients.
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