摘要
目的:评价并比较脑卒中患者在恢复期和后遗症期的康复治疗效果。方法:选择69例脑卒中患者,分为恢复期组和后遗症组,两组患者均进行系统的康复治疗8周。采用Barthel指数(Barthel Index,BI)评分法,分别于入院初,入院后4周、8周进行评定,将两组患者的3次BI值进行配对分析;另配合功能独立性评定(FI M)评分法,于入院时及治疗后8周进行FI M评分对比。结果:两组患者入院时的BI值无显著性差异,治疗后4周、8周两组均有显著改善(P<0.05),治疗4周时两组BI值无显著性差异,治疗8周后恢复期组较后遗症期组有显著改善(P<0.05);两组FI M分级均有提高,但恢复期组的改善率明显高于后遗症期的(P<0.05)。结论:脑卒中患者病情稳定后进行康复治疗均能提高日常生活能力,但应尽早进行,恢复期康复治疗效果优于后遗症期。
Objective：To appraise and compare the rehabilitation therapeutic effect of stroke patients in recovery and sequela phrase.Methods：A total of 69 stroke patients were divided into recovery and sequela group according to onset time of stroke,and two groups both received normal rehabilitation therapy for 8 weeks.The two groups were assessed by Barthel index（BI）at admission and 4 week,8 week after admission,and the effect was compared between two groups.The functional independence measure（FIM）score were measured of these patients at admission and at time of 8 week after admission.Results：The BI scores of two group were no significant difference at admission（P〉0.05）,and significant improved on 4-week,8-week after admission（P〈0.05）.The modified BI scores of two group were no significant difference on 4-week,but the BI of recovery group was more than that of sequela group（P〈0.05）on 8 week after admission（P〈0.05）.FIM scores improved in both groups,but the improvement was significantly higher in recovery group（P〈0.05）.Conclusion：Rehabilitation therapy can improve stroke patients＇ activities of daily living of any phrase,and early normal rehabilitation therapy can facilitate function rehabilition significantly.
出处
《心血管康复医学杂志》
CAS
2007年第4期341-343,共3页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
脑血管意外
康复
日常生活活动
Cerebral vascular accident
Rehabilitation
Activities of daily living
