摘要
目的探讨对缺血性脑卒中患者实施规范三级康复治疗的效果及对运动功能的影响,为临床提供指导。方法随机将2016年10月～2017年12月我院80例缺血性脑卒中患者分为观察组(40例,应用规范三级康复治疗)、对照组(40例,应用常规干预)。自患者出院后实施随访,时间为半年,对比两组患者的运动功能评分、日常生活活动能力评分、神经功能缺损评分及生活质量评分。结果观察组患者干预1个月后、干预3个月后、干预6个月后运动功能评分分别为[(67.24±3.42)分]、[(79.32±2.61)分]、[(86.24±3.48)分],明显高于对照组[(62.36±2.52)分、(70.02±2.32)分、(75.36±3.52)分],差异有统计学意义(P <0.05);观察组患者干预1个月后、干预3个月后、干预6个月后日常生活活动能力评分明显高于对照组,差异有统计学意义(P <0.05);观察组患者干预1个月后、干预3个月后、干预6个月后神经功能缺损评分明显低于对照组,差异有统计学意义(P <0.05);观察组患者干预1个月后、干预3个月后、干预6个月后生活质量评分明显高于对照组,差异有统计学意义(P <0.05)。结论对缺血性脑卒中患者实施规范三级康复治疗有助于改善患者运动功能,促进患者神经功能恢复,对提高患者日常生活活动能力及生活质量具有较积极的影响。
Objective To explore the curative effects of standardized tertiary rehabilitation treatment for patients with ischemic stroke and its effect on motor function so as to provide guidance for clinical practice. Methods 80 patients with ischemic stroke in our hospital from October 2016 to December 2017 were randomly divided into observation group(40 cases,standardized tertiary rehabilitation treatment) and control group(40 cases,routine intervention).The patients were followed up for half a year after discharge.The scores of motor function,activity of daily living(ADL),neurological deficit and quality of life(QOL) were compared between the two groups. Results The motor function scores of patients in the observation group after 1 month,3 months and 6 months of intervention were respectively [(67.24±3.42) points],[(79.32±2.61) points],[(86.24±3.48) points],which were significantly higher than those in the control group [(62.36±2.52) points,(70.02±2.32) points,(75.36±3.52) points],P < 0.05.After 1 month,3 months and 6 months of intervention,the score of ADL in the observation group was significantly higher than that in the control group,P < 0.05.After 1 month,3 months and 6 months of intervention,neurological deficit scores of patients in the observation group were significantly lower than those in the control group,P < 0.05.After 1 month,3 months and6 months of intervention,scores of quality of life in the observation group were significantly higher than those in the control group,P < 0.05. Conclusion For patients with ischemic stroke,standardized tertiary rehabilitation treatment is helpful to improve the motor function and promote the recovery of neurological function.It has positive effects on improving the activity of daily living and the quality of life of patients.
作者
罗淑燕
王志军
郭锦洪
赖瑞明
廖祥洲
LUO Shuyan;WANG Zhijun;GUO Jinhong;LAI Ruiming;LIAO Xiangzhou(Department of Rehabilitation,the Fifth People's Hospital of Foshan,Foshan 528211,China)
出处
《中国医药科学》
2019年第7期26-29,共4页
China Medicine And Pharmacy
基金
广东省佛山市医学科研课题(20180144)
关键词
缺血性脑卒中
规范三级康复治疗
运动功能
神经功能
日常生活活动能力
Ischemic stroke
Standardized tertiary rehabilitation treatment
Motor function
Neurological function
Activity of daily living
