实施三级康复方案对脑卒中患者生活质量的影响  

Effect of three-stage rehabilitation scheme on the quality of life in stroke patients

作　　者：郑丽芳[1] 梅元武[1] 邢宏义[1] 陈运平[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院神经内科,湖北省武汉市430022

出　　处：《中国临床康复》2004年第28期6020-6022,共3页Chinese Journal of Clinical Rehabilitation

基　　金：国家"十五"攻关课题(2001BA703B22)~~

摘　　要：目的:研究三级康复方案对脑卒中患者生活质量的影响,为脑血管病的康复制定最佳策略。方法:选取2001-10/2002-02在同济医学院附属协和医院神经内科住院的脑卒中患者42例,年龄≤85岁,随机分成康复组和对照组各21例,康复组在脑卒中后3～7d开始三级康复治疗,对照组仅给予早期康复治疗。应用SF-36量表判定疗效。结果:康复组在康复后6个月,生活质量的各个维度明显改善,分别为:总体健康:58.93±20.33,生理功能:61.43±30.70,生理职能:50.00±47.43,情感职能:47.62±51.18,社会功能:65.28±24.70,躯体疼痛:74.62±12.26,活力:69.24±21.11,精神健康:74.48±16.65,与对照组相比差异均有显著性意义(P<0.05);康复组在康复6个月时与康复前相比,除躯体疼痛评分外,其余各维度差异均具有显著性意义(P<0.05)。结论:足量持续的三级康复治疗可以明显提高脑卒中患者的生活质量。AIM:To investigate the influence of three stage rehabilitation scheme on the quality of life(QOL) in stroke patients, and establish the best rehabilitation strategy for cerebrovascular diseases. METHODS:Totally 42 inpatients,aged≤85 years old,in the Union Hospital of Tongji Medical College from October 2001 to February 2002 were assigned into rehabilitation group(n=21) and control group(n=21) randomly.Patients in the rehabilitation group was given three stage rehabilitation therapy 3 to 7 days following the stroke,while those in the control group received early rehabilitation therapy only.Curative effects were evaluated with the SF 36 scale. RESULTS:Six months after rehabilitation,patients in the rehabilitation group had obvious improvements in the dimensions of general health(58.93±20.33),physiological function(61.43±30.70),physiological functional authority(50.00±47.43),emotional function(47.62±51.18),social function(65.28±24.70),body pain(74.62±12.26),vigor(69.24±21.11) and mental health(74.48±16.65),and there were significant differences as compared with those in the control group(P< 0.05).In the rehabilitation group,the differences of all dimensions,except body pain,were significant before and 6 months after rehabilitation(P< 0.05). CONCLUSION:Sufficient and continuing three stage rehabilitation scheme can obviously improve the QOL of stroke patients.

关 键 词：脑卒中患者 康复方案 生活质量 对照组 康复治疗 躯体 疼痛评分 维度 结论 足量 

分 类 号：R743[医药卫生—神经病学与精神病学] R473.74[医药卫生—临床医学]