不同功能障礙的腦卒中患者康復(fù)輔助器具的使用調(diào)查

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摘 要 目的：調(diào)查不同功能障礙的腦卒中患者對(duì)于康復(fù)輔助器具（簡(jiǎn)稱“輔具”）的使用情況。方法：統(tǒng)計(jì)346例腦卒中患者輔具配備情況，根據(jù)巴塞爾指數(shù)評(píng)定量表比較不同功能障礙患者對(duì)不同輔具的需求情況。結(jié)果：244例患者配備了輔具，共401件，人均1.6件。重度依賴患者對(duì)于輪椅的需求率高于中度和輕度依賴患者，對(duì)于踝足矯形器和手杖的需求率低于輕度依賴患者；中度依賴患者對(duì)于踝足矯形器和手杖的需求率低于輕度依賴患者（均P

關(guān)鍵詞 腦卒中 輔助器具 功能障礙 日常生活能力

中圖分類號(hào)：R493； R743.3 文獻(xiàn)標(biāo)志碼：C 文章編號(hào)：1006-1533（2022）15-0026-04

引用本文 蔣留軍， 劉志紅， 華艷， 等. 不同功能障礙的腦卒中患者康復(fù)輔助器具的使用調(diào)查[J]. 上海醫(yī)藥， 2022， 43（15）： 26-29.

Investigation on the use of rehabilitation assistive devices in stroke patients with different dysfunctions

JIANG Liujun1， LIU Zhihong2， HUA Yan1， XING Ying3， WANG Yuyuan1， XIE Erkang1， CHEN Yinglun3， HU Jian1， BAI Yulong1， 3

（1. Department of Rehabilitation Medicine， North Hospital， Huashan Hospital， Fudan University， Shanghai 201907， China； 2. China Assistive Devices and Technology Center for Persons with Disabilities， Beijing 100032， China； 3. Department of Rehabilitation Medicine， Huashan Hospital， Fudan University， Shanghai 200040， China）

ABSTRACT Objective： To investigate the use of assistive devices in stroke patients with different dysfunction. Methods： A total of 346 cases of stroke patients with assistive devices were counted and the needs of patients with different functional dysfunction for different assistive devices were compared according to the Barthel index score. Results： Two hundred and forty-four patients were equipped with assistive devices， a total of 401 pieces， 1.6 pieces per person on average. The demand rate for wheelchairs is higher in severely dependent patients than moderately and mildly dependent patients， and for ankle-foot orthoses and walking sticks is lower than mildly dependent patients； the demand for ankle-foot orthoses and walking sticks is lower in moderately dependent patients than mildly dependent patients （all P

KEY WORDS stroke； assistive devices； dysfunction； ability of daily living

因腦卒中患者病灶常常累及初級(jí)運(yùn)動(dòng)皮層（M1）和皮質(zhì)脊髓束（corticospinal system， CST），所以運(yùn)動(dòng)功能障礙在腦卒中后很常見[1]。（剩余5172字）