摘要
目的探索规范化综合性康复治疗对脑卒中患者日常生活活动能力(ADL)的影响。方法 60例脑卒中患者随机分为康复组(n=30)和对照组(n=30),两组均接受常规内科治疗,康复组在此基础上给予规范化综合性康复治疗。分别于入院时、发病后第1、2、3个月末,采用Barthel指数(BI)评定ADL。结果对照组第1个月末BI显著高于入院时(P=0.000),第2个月末(P=0.375)、第3个月末(P=0.237)与第1个月末比较无显著性差异。康复组第1、2、3个月末BI均显著高于入院时(P=0.000)。两组患者入院时BI无显著性差异(P>0.05),康复组在第1、2、3个月末BI均显著高于对照组(P=0.000)。结论规范化综合性康复治疗对提高脑卒中患者ADL能力有明显改善作用,脑卒中患者早期有自我恢复的趋势。
Objective To explore the effect of standardized comprehensive rehabilitation treatment on activities of daily living （ADL） of stroke patients. Methods 60 stroke patients were divided randomly into rehabilitation group （n=30） and control group （n=30）. Both groups received routine internal medicine treatment, and the rehabilitation group received standardized comprehensive rehabilitation treatment addi- tionally. ADL was assessed with BI at admission and 1, 2, 3 months after admission. Results In the control group, the score of BI was signifi- cantly higher 1 month after admission than at admission （P=0.000）, and there was no difference 2 and 3 months after admission from 1 month after admission （P〉0.05）. In the rehabilitation group, the score of BI was significantly higher 1, 2 and 3 months after admission than at admission （P=0.000）. There was no difference in the score of BI between 2 groups at admission （P〉0.05）, and the score of BI was signifi- cantly higher in the rehabilitation group than in the control group at other treatment periods （P=0.000）. Conclusion Standardized comprehen- sive rehabilitation treatment could promote the ADL of stroke patients who have the trend of self-recovery at the early stage.
出处
《中国康复理论与实践》
CSCD
北大核心
2013年第2期158-160,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
规范化综合性康复
脑卒中
日常生活活动能力
standardized comprehensive rehabilitation
stroke
activities of daily living
