摘要
目的探讨不同时间介入康复治疗对老年脑卒中偏瘫患者日常生活活动能力(ADL)的影响。方法选择住院脑卒中患者74例按发病至开始康复时间将患者分为3组:A组<3个月,B组3～6个月,C组>6个月。所有患者均进行系统康复治疗2个月,分别于康复治疗前和康复2个月时采用Barthel指数进行评定。结果3组患者康复治疗前后比较,Barthel指数均有显著提高(P=0.000);康复后组间比较,A组与C组有显著性差异(P<0.05),而A组与B组或B组与C组间均无显著性差异(P>0.05)。结论不同时间介入康复治疗,均能改善老年脑卒中患者的ADL,及早介入康复更有利于提高脑卒中患者ADL。
Objective To investigate the effects of rehabilitation intervening in different stage on activities of daily living of old stroke patients. Methods 74 old cases were divided into 3 group according to the time from onset of stroke to rehabilitation intervention： group A （〈3 months）, group B （3-6 months）, and groupC （〉6 months）. They were treated with routine rehabilitation for 2 months and assessed with Barthel Index before and after rehabilitation. Results All the patients improved their ADL significantly after rehabilitation （P=0. 000）, and those in group A improved more than in group C （P〈0. 05）. There was no significant differ ence between group A and B, and group I3 and C （P〉0.05）. Conclusion The rehabilitation can effectively improve the ADL of old stroke patients. The early the rehabilitation intervenes, the better the ADL is.
出处
《中国康复理论与实践》
CSCD
2009年第9期847-848,共2页
Chinese Journal of Rehabilitation Theory and Practice
基金
上海市卢湾区卫生局科研课题[卢卫医管(2006)22]
