摘要
目的观察社区三级医疗康复方案对脑卒中偏瘫患者功能恢复的效果。方法将158例脑卒中患者分为康复组及对照组。在规范的内科治疗、机构内一级康复的基础上,康复组给予规范的社区三级康复。在入组时、第1个月末、第6个月末分别采用美国国立卫生研究院卒中量表(NIHSS)、简式Fugl-Meyer运动功能评定量表、改良Barthel指数、Rankin修订量表(MRS)进行评定。结果康复组在病程6个月时Fugl-Meyer评定、Barthel指数评分明显对照组(P<0.01),NIHSS及MRS评分明显低于对照组(P<0.01)。结论脑卒中患者采取为期6个月的三级康复后,各项功能恢复明显优于仅采取一级康复,是一种有效的康复方案。
Objective To observe the effects of the third-stage community-based rehabilitation program on functional recovery of stroke patients with hemiplegia. Methods 158 stroke patients with hemiplegia were divided into rehabilitation group and control group. Besides normal medicine and first-stage institution-based rehabilitation similar with that of control, rehabilitation group re ceived a standardized third-stage community-based rehabilitation. They were assessed with the National Institutes of Health Stroke Scale （NIHSS）, Fugl-Meyer Assessment （FMA）, Modified Barthel Index （MBI） and Modified Rankin Scale （MRS） before, 1 month and 6 months after treatment. Results The scores of the FMA and the MBI of the rehabilitation group were higher than that of the control group （P〈0.01）, while were lower of the NIHSS and MRS in the rehabilitation group than in the control group at the end of the sixth month （P〈0. 01）. Conclusion The third-stage community-based rehabilitation may improve the recovery of the stroke patients with hemiplegia.
出处
《中国康复理论与实践》
CSCD
2009年第7期677-678,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脑卒中
偏瘫
社区康复
三级康复
运动功能
神经功能
日常生活活动
结局
stroke
hemiplegia
community-based rehabilitation
third-stage rehabilitation
motor function
neurological function
activity of daily living
outcome
