规范三级康复治疗脑卒中偏瘫患者的临床疗效研究  

Clinical study of standardized three stages rehabilitation program in promoting comprehensive function in stroke patients

作　　者：张继荣[1] 吴霜[1] 黄宇[1] 龙燕[1] 冯丽丽[1] 陈庭凤[1] 李玫[1] 马丽[1] 王连芳[1] 冯晓敏[1] 

机构地区：[1]贵阳医学院附属医院康复医学科,贵阳550004

出　　处：《中华物理医学与康复杂志》2007年第11期751-753,共3页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：国家"十五"攻关项目资助课题(2001BA703B21)

摘　　要：目的探讨规范三级康复治疗对脑卒中偏瘫患者综合功能的临床疗效。方法选择80例脑卒中患者,男性58例,女性22例;年龄(62.94±8.59)岁。用随机化的方法分为康复组和对照组(对照组中1例脑出血伴发重症胰腺炎患者死亡,1例脑缺血患者进食时窒息死亡),两组均用相同的内科治疗方案,康复组在此基础上增加规范的三级康复治疗技术。两组患者一般资料比较,差异无统计学意义(P>0.05)。两组患者疗效标准采用简化Fugl-Meyer运动功能评定法(FMA)、改良Barthel指数评定法(MBI)和综合功能评定法(FCA)。在入选时(V_0)、发病后1个月末(V_1)、3个月末(V_2)、6个月末(V_3)分别进行评定。所有数据均用((?)±s)表示,采用SPSS 10.0软件进行统计分析,组间比较采用t检验。结果入选时康复组与对照组各项评分差异无统计学意义(P>0.05),康复组经过规范的三级康复治疗后,各阶段(1个月末、3个月末、6个月末)各项评分明显高于对照组,差异有统计学意义(P<0.01),各阶段各项评分的积分差值也明显高于对照组(P<0.01)。结论规范三级康复治疗对脑卒中偏瘫患者各阶段综合功能有显著的临床疗效。Objective To explore the effects of standardized three stages rehabilitation on the comprehensive function in stroke patients with hemiplegia. Methods A total of 80 cases of acute brain vascular disease （male： 58, female： 22; average age： 62.94 ± 8.59; brain infarction： 44 cases, brain hemorrhage：36 cases; 2 died） were divided randomly into 2 groups ： the treatment group and the control group. The treatment group was treated with the standardized 3 stages rehabilitation program whereas the control group received no rehabilitation treatment. Both groups received routine treatment of internal medicine. Both groups were evaluated with simplified Fugl- Meyer scale,simplified ADL scale and comprehensive functional scale at the beginning and the end of the treatment. Results There was no significant difference between the two groups with regard to the scores with all the scales at the beginning（ P 〉0.05 ）. However, in the end of the treatment, the patients in the treatment group scored significantly better with all. the scales than the control, group （ P 〈 0. 001 ） and the increasing rate of the scores was significant higher than that of the control group. Conclusion The standardized three stages rehabilitation can promote the recovery of stroke patients＇comprehensive functions significantly.

关 键 词：三级康复 脑卒中 偏瘫 综合功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]