黄晓琳，陆敏，彭军.不同康复治疗计划对脑卒中患者功能恢复的影响[J].中华物理医学与康复杂志,2003,(6):。-
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| 不同康复治疗计划对脑卒中患者功能恢复的影响 |
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| DOI： |
| 中文关键词: 脑卒中 功能 康复 |
| 英文关键词: Stroke Rehabilitation Function |
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| 中文摘要: |
| 目的观察急性脑卒中患者早期系统康复治疗的有效性，探讨恢复期不同康复治疗计划对功能恢复的影响。 方法将45例发病在2周内的脑卒中患者随机分为康复组（23例）和对照组（22例），康复组又分为康复A组11例（住院系统康复治疗12周）和康复B组12例（住院系统康复治疗4周后出院由治疗师上门指导家庭康复训练8周）。采用Fugl-Meyer法、Barthel指数法于治疗前及治疗4周和12周后评定各组患者的运动功能和日常活动能力。 结果治疗前各组Fugl-Meyer及Barthel积分相近，差异均无显著性意义（P＞0.05）；治疗4周和12周后，康复组Fugl-Meyer及Barthel积分均明显高于对照组，差异有非常显著性意义（P＜0.01）；治疗前和治疗4周后康复A组和B组的Fugl-Meyer及Barthel积分差异没有显著性意义（P＞0.05）；治疗12周后康复A组 Fugl-Meyer值明显高于康复B组，差异有非常显著性意义（P＜0.01），而两组Barthel积分差异没有显著性意义（P＞0.05）。 结论早期系统康复治疗可以有效地提高患者的运动功能和改善ADL能力，恢复期继续给予至少8周家庭指导康复训练则更有利于提高患者的独立生活能力，并可减少医疗费用、缩短住院时间及利用可用的资源，促进患者的全面康复。 |
| 英文摘要: |
| Objective To study effect of early systemic rehabilitation treatment and different rehabilitation programs on the functional outcomes in patients with stroke. MethodsForty-five cases of acute stroke were divided into rehabilitation group (n=23) and control group (n=22). The rehabilitation group was further divided into two subgroups: subgroup A (n=11) in which the patients received intensive rehabilitation intervention for 12 weeks, and subgroup B (n=12), in which the patients got intensive rehabilitation for 4 weeks, followed by home rehabilitation training for another 8 weeks. Fugl-Meyer scale and Barthel index were used to assess motor function and ADL at pre-therapy and 4 and 12 weeks post-therapy, respectively. ResultsThe scores of Fugl-Meyer and Barthel index in both rehabilitation and control groups were similar at pre-therapy stage （P＞0.05）, but the patients in the rehabilitation group demonstrated much higher scores in Fugl-Meyer and Barthel index than those in the control group at the end of 4 and 12 weeks after rehabilitation therapy（P＜0.01); both rehabilitation subgroups showed the similar scores pre-and 4 weeks post-therapy; the scores of Fugl-Meyer in the rehabilitation subgroup A were obviously superior to that in the subgroup B, but the integral Barthel scores in both rehabilitation subgroups had no significant difference （P＞0.05） 12 weeks after the therapy. ConclusionEarly intensive rehabilitation therapy can effectively improve the motor function and ADL of stroke patients; the continuing home rehabilitation program for at least 8 weeks is helpful for improving the patient's functional independence, increasing the cost-effectiveness, and shortening the length of stay of stroke patients. |
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