摘要
目的探讨康复治疗介入时机对脑卒中患者预后产生的影响。方法纳入该院100例2017年2月-2018年6月脑卒中患者。随机数字表分组,对照组采取常规时间介入康复治疗,观察组采取超早期介入康复。比较两组效果;肢体功能改善的时间、其他时间指标;治疗前后患者NHISS评分、BI指数、FMA评分;后遗症发生率。结果观察组疗效100.00%高于对照组80.00%(χ^2=6.023,P<0.05)。治疗前两组NHISS评分、BI指数、FMA评分相近(P>0.05);治疗后观察组NHISS评分、BI指数、FMA评分分别是(7.24±1.21)分、(78.24±3.96)分、(90.25±2.31)分,观察组各项评分指数变化幅度更大(P<0.05)。观察组肢体功能改善的时间、其他时间指标分别是(25.21±2.25)d和(16.11±2.62)d、(20.11±2.66)d,观察组各指标更好(t=6.981,11.023,P<0.05),观察组有3例后遗症,对照组有8例后遗症,观察组后遗症发生率低于对照组(χ^2=5.922,P<0.05)。结论超早期介入康复脑卒中的效果理想,可有效改善患者的神经功能以及肢体功能,并改善患者的生活能力,减少后遗症的发生率。
Objective To investigate the effect of intervention time on the prognosis of stroke patients. Methods 100 patients with stroke from February 2017 to June 2018 were enrolled in our hospital. The random number table was divided into two groups, the control group was treated with conventional time interventional rehabilitation, and the observation group was treated with super early intervention. The effects of the two groups were compared;the time of improvement of limb function, other time indicators;the NHISS score, BI index, FMA score before and after treatment;the incidence of sequelae. Results The efficacy of the observation group was100.00% higher than that of the control group(80.00%)(χ^2=6.023, P<0.05). Before treatment, the NHISS score, BI index and FMA score were similar(P>0.05). After treatment, the NHISS score, BI index and FMA score were(7.24±1.21)points,(78.24±3.96)points and(90.25±2.31)points, respectively. The item score index showed a larger change(P<0.05). The time of limb function improvement and other time indicators of limb function improvement in the observation group were(25.21±2.25)d and(16.11 ±2.62)d,(20.11 ±2.66)d. The indexes of the observation group were better(t=6.981, 11.023, P<0.05), and 3 cases in the observation group with the sequelae, there were 8 cases of sequelae in the control group. The incidence of sequelae in the observation group was lower than that in the control group(χ^2=5.922, P<0.05). Conclusion The effect of ultra-early interventional rehabilitation for stroke is ideal, which can effectively improve the neurological function and limb function of patients, improve their living ability and reduce the incidence of sequelae.
作者
韩英俊
HAN Ying-jun(Department of Inner Medicion, Section Five, Ningjin County People's Hospital, Ningjin, Shandong Province, 253400 China)
出处
《世界复合医学》
2019年第6期4-6,共3页
World Journal of Complex Medicine
关键词
康复治疗
介入时机
脑卒中患者
预后
影响
神经功能
Rehabilitation therapy
Interventional timing
Stroke patients
Prognosis
Influence
Neurological function
