摘要
目的通过观察住院康复治疗出院后继续在门诊接受康复治疗的脑损伤患者情况,探讨门诊康复治疗对巩固疗效、提高生活质量的作用和意义。方法将74例脑损伤患者分为门诊治疗组(A)、自行康复组(B),每组37例,两组患者住院期间接受相同的一级和二级康复治疗。出院后,门诊治疗组患者坚持每周5 d来门诊继续接受系统康复治疗,自行康复组患者出院时给予康复指导,交待注意事项,自行在家或社区进行康复训练,分别在相应的时间点进行评定。结果两组患者经过3个月康复治疗,出院时均有改善,3项评分相似。出院后3个月及9个月时评估,两组神经功能缺损程度、运动功能及日常生活活动能力亦均有所改善,但门诊治疗组改善更明显(P<0.05)。结论脑损伤康复治疗不仅需要规范的三级康复治疗体系,而且要遵循持之以恒的康复治疗原则,持续进行规范系统的康复治疗(如有条件坚持门诊康复治疗),才能巩固脑损伤患者康复治疗的疗效,提高日常生活活动能力。
Objective To investigate the effect and significance of outpatient rehabilitation treatment on consolidating the curative effect and improving the quality of life in patients with brain injury by observing the patients with brain injury after hospital rehabilifation treatment. Methods Seventy four cases of brain injury patients were divided into A or B group with a same primary and secondary rehabilitation within three months after brain injuny. After discharge,A group of patients adhere to 5 days per week to the clinic to continue to accept the system rehabilitation,group B patients own home community rehabilitation. Respectively,in the corresponding time points evaluated. Results The patients of two groups after 3 months of rehabilitation,neurologic impairment,motor function and activities of daily living had improved. In 3 months and 9 months after discharge,although patients in group B the three scores also improved,but were not as remarkable as group A（P〈0.05）. Conclusion Brain injury rehabilitation should follow the principle of rehabilitation sustained,ongoing rehabilitation specification of the system in order to consolidate the efficacy of treatment in patients with brain injury rehabilitation and improve activities of daily living.
出处
《中华保健医学杂志》
2016年第2期128-130,共3页
Chinese Journal of Health Care and Medicine
基金
2009全军保健专项课题(09BJ208)
解放军后勤科研计划项目(CSY12J016)
关键词
脑损伤
门诊
康复治疗
日常生活活动能力
Brain injury
Outpatient
Rehabilitation
Activities of daily living
