原创《早期综合康复方案对脑卒中后急性肩手综合征患者临床效果》：此文是一篇脑卒中论文范文,为你的毕业论文写作提供有价值的参考。
[摘 要] 目的 探讨早期综合康复方案对脑卒中后急性肩手综合征（SHSAS）患者的临床效果.方法 方便选取2013年10月—2015年10月临淄区妇幼保健院内一科收治的134例SHSAS患者,随机分为观察组和对照组,每组67例.对照组给予脑卒中后常规康复锻炼,观察组采取早期综合康复方案,两组均治疗4周.采用Fugl-Meyer（FMA）评估两组患者治疗前后上肢运动功能,采用视觉模拟评分法（VAS）评估疼痛程度.随访3个月,采用WHOQOL-BRIEF量表评价两组患者治疗前后生活质量.结果 观察组FMA评分（20.65±2.32）分,明显高于对照组（P<0.01）,VAS评分（3.67±0.48）分,明显低于對照组（P<0.01）；观察组生理领域、心理领域、社会领域、环境领域得分分别为（67.72±6.46）分、（68.35±6.86）分、（67.36±6.47）分、（65.45±5.98）分,均显著高于对照组（P<0.05）. 结论 观察早期综合康复方案有助于提高脑卒中后肩—手综合症患者的上肢功能,减轻疼痛程度,改善患者的生活质量.
[关键词] 早期综合康复方案；脑卒中；急性肩-手综合症；上肢功能；疼痛程度
[中图分类号] R5 [文献标识码] A [文章编号] 1674-0742（2017）06（b）-0057-03
[Abstract] Objective To discuss the clinical effect of early comprehensive rehabilitation plan on the acute shoulder-hand syndrome after stroke. Methods 134 cases of SHSAS patients admitted and treated in our hospital from October 2013 to October 2015 were conveniently selected and randomly divided into two groups with 67 cases in each, the control group and the observation group were respectively treated with routine rehabilitation exercise after stroke and early comprehensive rehabilitation plan for four weeks, and the upper limb motor function before and after treatment of the two groups were evaluated by the Fugl-Meyer（FMA）, and the pain degree was evaluated by the VAS, and the quality of life before and after treatment of patients was evaluated by the Fugl-Meyer（FMA） scale. Results The FMA score in the observation group was（20.65±2.32）points, which was obviously higher than that in the control group（P<0.0）1, and the VAS score in the observation group was （3.67±0.48）points, which was obviously lower than that in the control group（P<0.01）, and the physical field, mental field, social field, and environmental field score were respectively （67.72±6.46）points,（68.35±6.86）points,（67.36±6.47）points,（65.45±5.98）points, which were obviously higher than those in the control group（P<0.05.） Conclusion The early comprehensive plan contributes to improving the upper limb function of patients with acute shoulder-hand syndrome after stroke, relieve the pain degree and improve the quality of life.
[Key words] Early comprehensive rehabilitation plan； Stroke； Acute shoulder-hand syndrome； Upper limb function； Pain degree
脑卒中后肩-手综合征（shoulder-hand dyndrome afer stroke, SHSAS）是脑卒中后常见的并发症,多见于脑卒中后1～3个月,临床表现为患侧上肢的肩、肘、手、腕关节疼痛及活动受限,严重者可出现关节僵直,手及手指永久性畸形,影响患者生活质量[1].早期康复治疗可有效改善脑卒中肩-手综合征患者疼痛程度和功能障碍,促进患者手部功能恢复[2].该研究对2013年10月—2015年10月该院收治的67例SHSAS患者实施早期综合康复方案,同时选择67例常规康复治疗的同病种患者进行对照研究,现报道如下.
脑卒中论文参考资料：
结论：早期综合康复方案对脑卒中后急性肩手综合征患者临床效果为关于本文可作为脑卒中方面的大学硕士与本科毕业论文脑卒中论文开题报告范文和职称论文论文写作参考文献下载。
