脑卒中偏瘫病人社区康复中的疗效评价  

The Stroke Hemiplegia Patients in Community Being Rehabilitated to Health Curative Effect Evaluation

作　　者：刘德安[1] 孙保和[1] 任雪雷[1] 周晓林[1] 

机构地区：[1]上海市徐汇区日晖医院上海市徐汇区斜土街道社区卫生服务中心,上海200032

出　　处：《赣南医学院学报》2007年第3期364-366,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探索卒中偏瘫患者在社区进一步康复的模式和途径。方法:将社区87例卒中偏瘫患者随机分为治疗组(采用ADL训练+综合治疗)48例,被动治疗组(采用综合治疗)39例,对治疗前后两组病例进行Barthel指数评定(the barthel index of ADL)比较两组偏瘫患者功能恢复率。结果:按ADL评价主动病例恢复总有效率为43.8%,被动病例恢复总有效率为23.1%,χ2=4.070,P<0.05。结论:主动渐进性功能康复锻炼,能改善社区脑卒中偏瘫病人的残障肢体的功能,提高他们的生活质量,与被动随意的锻炼有显著的差异。Objective：To probe the restoring health patten and way for stroke hemiplegia patients in community. Methods：Eighty seven hemiplegia patients of community were divided into the forty eight and thirty nine passive treantment group. To treat two group cases of illness to carry on the barthel index of ADL, compared with two group of hemiplegia patients function restoration rate. Result： Acording to ADL evalution, the driving patients effect rate is 43.8%, passive patients effect rate is 23.1%, χ^2 = 4.070, P 〈 0. 05. Conclusion： The driving function rehabilitates to health, and exercise, can improve the stroke hemiplegia patients of community remnatly to bond body the function and their quality of live. Compared with passive exercise the possive exercise group has the obvious differences.

关 键 词：卒中偏瘫 社区康复 

分 类 号：R493[医药卫生—康复医学]