优化运动技巧训练在恢复脑卒中患者手部精细功能中的作用

优化运动技巧训练在恢复脑卒中患者手部精细功能中的作用

【摘要】目的：探究优化运动技巧训练在恢复脑卒中患者手部精细功能中的作用。方法：选取2010年1月-2014年1月于我院接受治疗80例脑卒中患者，按数字表法将患者随机分为观察组与对照组，每组各40例。其中观察组采用优化运动技巧训练对患者进行康复干预，对照组仅进行常规干预措施，观察两组患者干预前后上肢功能以及手部精细运动状况。结果：治疗前，两组患者上肢握力、捏力均无显著差异，治疗后观察组上肢力量均显著高于对照组，差异有统计学意义，P＜0.05；治疗前，两组患者FMA评分无显著差异，治疗后两组均有所升高，观察组较对照组升高更为显著，差异有统计学意义，P＜0.05；治疗前，两组患者STEF评分无显著差异，治疗后两组均有所升高，观察组较对照组升高更为显著，差异有统计学意义，P＜0.05；观察两组患者治疗后QOL评分的对比，结果发现观察组治疗后后评分显著高于对照组，异有统计学意义，P＜0.05。结论：应用优化运动技巧训练，能够显著改善脑卒中患者上肢运动能力，提高患者手部精细化功能，效果较为显著，值得推广应用。

【关键词】：优化运动；训练；脑卒中；手部；精细运动The optimization of sports skills training on the recovery of hand functionin stroke patients with the effect of fine

[Abstract]Objective:To explore the Optimization of sports skills training on the recovery of handfunction in stroke patients with the effect of fine.Methods:From 2010 January -2014 year in January in our hospital treated 80 cases of stroke patients, according to the number table, the patients were randomly divided into observation group and control group, 40 cases in each group. The observation group with the optimization of sports skills training and rehabilitation intervention on patients, the control group was only routine intervention, two groups were observed before and aftertreatment in patients with upper extremity function and hand fine motorcondition.Results:Before treatment, two groups of patients with upper limb grip, pinch strength had no significant difference after treatment, the observation group of upper limb strength were higher than the control group, the difference was statistically significant, P< 0.05; before treatment, no significant difference between the

two groups of patients with FMA score,two groups were increased after treatment, observation group than in the control group increased more significantly, the difference was statistically significant, P < 0.05; before treatment, no significant difference between the two groups of patients with STEF score, two groups were increasedafter treatment, observation group than in the control group increased more significantly, the difference was statistically significant, P < 0.05;contrast observed in the two groups after treatment QOL score, the results found the observation group after treatment score was significantly higher than the control group, difference has statistical significance, P< 0.05.Conclusion:Application of the optimization of sports skills training, can significantly improve the ischemic stroke patients with upper motor ability, improvehand function in patients with fine, the effect is significant, worthy ofpromotion and application.

[Key words]:Optimization of the motion; training; stroke; hand; fine motor

脑卒中又被称为脑梗死，是神经病学中常见的疾病，该病的本质是部分脑组织因血液循环的不通畅导致缺氧，缺血的情况，最终软化坏死[1]。缺血性脑卒中的致死率与致残率都很高，有80%以上存活的患者均出现了不同程度上的残疾现象，严重影响到了患者的正常生活[2]。本研究旨在优化运动技巧训练在恢复脑卒中患者手部精细功能中的作用，特选取80例病例进行分组研究，现报道如下。

1 临床资料

1.1.1一般资料选取2010年1月-2014年1月于我院接受治疗80例脑卒中患者，按数字表法将患者随机分为两组，其中观察组40例，男性患者27例，女性患者13例，年龄41～73岁，平均年龄（56.7±10.5）岁，平均病程（3.7±1.2）个月，应用优化运动技巧训练的方式进行干预；对照组40例，男性患者25例，女性患者15例，年龄42～75岁，平均年龄（57.8±10.4）岁，平均病程（3.5±1.3）个月，实施常规干预方案。两组患者在年龄等一般资料上无显著性差异，（p＞0.05），具有可比性。