【摘要】 目的 探討指導性強化作業療法對腦卒中患者上肢運動功能障礙的療效，旨在提高患者的生活質量。 方法 2007年6月-2009年6月將68例腦卒中偏癱患者隨機分成治療組及對照組。治療組進行指導性強化作業療法，對照組采用傳統康復訓練。分別于治療前、治療后和治療后1、3個月應用MAL和Bathel指數對其進行評定。 結果 兩組MAL評分及Bathel指數在治療后均有所提高，治療組在治療后1、3個月的MAL評分及Bathel指數較治療前增加，有統計學意義（Plt;0.05）；對照組無差異。治療后1、3個月，兩組MAL評分及Bathel指數比較有統計學意義（Plt;0.05）。 結論 指導性強化作業療法作為一種新型的康復治療技術，能夠改善患者上肢運動功能及日常生活能力，提高生活質量，具有較高的臨床應用價值。【Abstract】 Objective To explore the efficacy of guiding intensified occupational therapy for ischemic stroke patients with upper motor dysfunction, aiming at improving the quality life of the patients. Methods From June 2007 to June 2009, sixty-eight patients with stroke were randomly divided into treatment group and control group. Treatment group was treated with guiding strengthen occupational therapy and control group with trandional therapy. The MAL and the Bathel index were used to evaluate before treatment, after treatment and 3 months after treatment respectively. Results The MAL score and Bathel index were improved after treatment. The MAL score and Bathel index of the treatment group immediately and in 3 months after treatment increased greatly, and there were statistical significance (Plt;0.05). There was no difference in the MAL score and Bathel index in the control group before and after treatment. The MAL score and Bathel index of two groups were statistically significant after 3 months treatment (Plt;0.05). Conclusion Guiding intensified occupational therapy as a new kind of rehabilitation techniques, can improve the function of upper movement and daily life, and improve the quality life. It had high value of clinical applications.
