家庭康复对脑卒中患者ADL能力的影响  

The influence of home-based rehabilitation on activities of daily living (ADL) in hemiplegic patients after a stroke

作　　者：孟军[1] 李然[1] 

机构地区：[1]吉林市中心医院,132001

出　　处：《中国实用医药》2010年第17期35-36,共2页China Practical Medicine

摘　　要：目的探讨家庭康复治疗对脑卒中患者日常生活能力(activitiesofdailyliving,ADL)的影响。方法对吉林市中心医院5年间收治的177例脑卒中患者提供指导性家庭康复治疗方法,并进行跟踪观察,日常生活能力采用Barthel指数(MBI)评定,肢体运动功能采用Fugl-Meyer(FMA)积分评定。结果家庭康复治疗对177例脑卒中患者均有效,FMA评分和MBI评分均较治疗前提高(P<0.05),而病史时间的长短对其ADL能力改善影响不大(P>0.05);但年龄因素对其改善有一定影响(P<0.05)。结论家庭康复治疗,对不同时期的偏瘫患者在提高日常生活能力方面有着显著性作用,但随着年龄增加,其生活质量改善作用渐差。Objective To explore the influence of home-based rehabilitation on activities of daily living （ADL） in hemiplegic patients after stroke. Methods 177 cases of stoke patients admitted to our section in a five-year period were provided with guidance on home-based rehabilitation therapy and follow-up observation; Barthel Index （MBI） assessment was used to assess activities of daily living （ADL） ; Fugl-Meyer Motor Func- tion Assessment （FMA） was used to assess limb motor function. Results The home-based rehabilitation thera- py was effective in the 177 cases of stroke patients. FMA score and MBI score increased after the treatment （P 〈 0. 05 ）, while the disease duration had no significant effect on the improvement of ADL ability （ P 〉 0. 05 ） ; but the age factor had a certain impact on their improvement （ P 〈 0. 05 ）. Conclusion It is suggested that home-based rehabilitation therapy could obviously improve the abilities of ADL in patients with hemiplegia at different stages and with the increased age, the improvement in their llfe quality is significant.

关 键 词：脑卒中 家庭 康复治疗 日常生活自理能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]