Effect of rehabilitation operation therapy on upper limb dysfunction in hemiplegia patients
康复作业治疗在偏瘫患者上肢功能障碍中的应用效果观察

摘要

目的 探究康复作业治疗在偏瘫患者上肢功能障碍中的应用效果。方法 回顾性统计本院2021.07-2022.05期间临床收诊偏瘫上肢功能障碍病人共计70名，设为研究对象。信封法分组下平均分为两组，每组35名分别纳入常规组、实验组。常规组予以常规治疗、实验组予以康复作业治疗，比较两组患者治疗前后生活质量和自我效能评分（MBI、GSES）、治疗前后上肢运动功能评分（FMA-UE、WMFT）、临床治疗效果、负性情绪评分（HAMA、HAMD）。结果 治疗前，两组对比MBI、GSES、FMA-UE、WMFT评分无差异，P＞0.05。治疗后，相较常规组，实验组MBI、GSES评分更高，P＜0.05。相较常规组，实验组HAMA、HAMD评分更低，P＜0.05。相较常规组，实验组FMA-UE、WMFT、临床治疗效果更高，P＜0.05。结论 偏瘫上肢功能障碍病人接受康复作业治疗临床治疗效果好，患者肢体功能恢复理想，建议普及应用。

Abstract

Objective To explore the application effect of rehabilitation operation therapy in hemiplegia patients with upper limb dysfunction.
Methods A total of 70 patients with hemiplegia and upper limb dysfunction received in our hospital from July 21, 2020 to May 22, 2020 were retrospectively counted as subjects. Under the envelope method, 35 students in each group were included in the conventional group and the experimental group respectively. Routine treatment was given in the conventional group, and rehabilitation operation treatment was given in the experimental group. Quality of life and self-efficacy score (MBI, GSES), upper limb motor function score (FMA-UE, WMFT), clinical treatment effect, negative emotion score (HAMA, HAMD) were compared between the two groups before and after treatment.
Results Before treatment, there was no difference in MBI, GSES, FMA-UE and WMFT scores between the two groups (P>0.05). After treatment, MBI and GSES scores of the experimental group were higher than those of the conventional group, P<0.05. HAMA and HAMD scores of the experimental group were lower than those of the conventional group, P<0.05. Compared with the conventional group, fMA-UE, WMFT and clinical treatment effect of the experimental group were higher, P<0.05.
Conclusion   Hemiplegic patients with upper limb dysfunction received rehabilitation operation treatment of clinical treatment effect is good, patients with limb function recovery ideal, it is recommended to be widely used.