论文部分内容阅读
目的：：观察蜡疗对脑卒中后偏瘫患者手功能改善的影响。方法：将40例偏瘫手功能障碍患者随机分为治疗组和对照组，每组各20例。所有患者均给予物理疗法、作业疗法。治疗组患者辅以蜡疗。采用痉挛评定( MAS)、腕关节活动度( AROM)和Fugl-Meyer手功能评定对两组患者进行疗效评价。观察两组患者手部痉挛及功能的变化。结果：在腕关节痉挛和腕关节活动度方面，治疗组患者明显优于对照组(P<0.01)。两组患者的Fugl-Meyer均较治疗前有所改善(P0.05)。结论：蜡疗结合常规康复训练能够有效促进偏瘫患者手功能的恢复。“,”Objective:To evaluate effects of paraffin therapy on rehabilitation of hand function in patients with hemiplegia after stroke. Methods:Forty patients with post-stroke hand function loss were randomly assigned to study group and control group (20 ca-ses, respectively) . All participants received physical therapy and occupational therapy, while the study group was combined with par-affin therapy. Modified Ashworth scale ( MAS) , active range of movement ( AROM) of wrist and Fugl-Meyer assessment ( FMA) of hand function were used to assess the efficacies of the two groups. The spasticity and hand function were observed in two groups. Re-sults:The study group was superior to the control group in the spasticity and wrist functions (P<0. 01). The scores of FMA in the two groups were improved after the therapy (P0. 05). Con-clusions:The paraffin therapy combined with conventional rehabilitation exercises can improve the hand recovery in the patients with hemiplegia after stroke.