早期综合康复对脑卒中患者功能恢复及继发并发症的影响  

Effect of early integrated rehabilitation on functional prognosis and complication in acute stroke patients

作　　者：王友明[1] 付治安[1] 苏进营[1] 王拥军[2] 

机构地区：[1]河北工程大学附属医院神经内科,邯郸056029 [2]首都医科大学附属北京天坛医院神经内科

出　　处：《中国康复医学杂志》2006年第12期1099-1100,1106,共3页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨早期综合康复对脑卒中患者功能恢复及并发症的影响。方法:将183例脑卒中患者随机分为康复组和对照组,其中康复组90例,在常规药物治疗的基础上采用Bobath法、心理康复和健康教育的方法进行训练;对照组93例仅进行常规药物治疗。对神经功能缺损程度(NIHSS评分)、ADL能力、焦虑、抑郁和并发症进行评估。结果:①治疗4周后两组NIHSS评分明显减少,运动功能、ADL积分均明显增加,焦虑、抑郁得分明显降低,两组的变化均数相比,康复组优于对照组(P<0.05)。②在并发症方面,康复后两组肩关节半脱位情况差异无显著性意义(P>0.05);其余4项两组差异有显著性意义(P<0.05);康复组继发并发症明显少于对照组(P<0.05)。结论:脑卒中患者早期综合康复与对照组相比,在降低其神经功能缺损积分、减少并发症、提高运动功能、ADL积分上效果更好。Objective：To investigate the effect of early integrated rehabilitation on functional prognosis and complications in acute stroke patients.Method：183 stroke patients were randomly divided into rehabilitation group and control group. Early integrated rehabilitation group consisted of 90 patients based on routine medication were treated with Bobath method,psychotherapy,and health education. In control group, 93 patients were treated with conventional medication.The two groups were assessed with the NIH Stroke Scale,activity of daily living,anxiety,and depression. Result： ①The neurological deficit scores,anxiety and depression were reduced,while motor function and ADL were improved after 4 weeks of therapy in both groups.The difference between the two groups was significant （P〈0.05）.The scores in rehabilitation group were significantly higher than those in the control group（P〈0.05）.②The subluxation of shoulder joint was not significant after 4 week of therapy in the two groups （P〈0.05）. Other complications in rehabilitation group were less than those in the control group （P〈0.05）.Conclusion：Early integrated rehabilitation is effective on reducing neurological deficit and complications and ameliorating motor function and ADL in stroke patients.

关 键 词：脑卒中 早期综合康复 功能预后 医院焦虑抑郁联合评定量表 

分 类 号：R493[医药卫生—康复医学] R743[医药卫生—临床医学]