三级康复训练对改善脑卒中患者运动和认知功能障碍的效果研究  

Clinical study in effect of three- stage rehabilitation training on improvement of motor and cognitive function among stroke patients

作　　者：巩天玲[1] 于红燕[1] 吴树辉[1] 王道云[1] 

机构地区：[1]山东省滨州市立医院,256617

出　　处：《中国实用护理杂志（下旬版）》2010年第9期12-14,共3页Chinese Journal of Practical Nursing

摘　　要：目的探索规范的三级康复训练对脑卒中偏瘫患者运动和认知功能障碍的影响。方法采用前瞻性随机对照研究，逐步回归分析影响脑卒中患者综合功能恢复的早期变异因素，根据变异因素制订规范的三级康复训练方案。分别在各研究中心随机选取患者200例，按脑梗死和脑出血分类，以区组随机化纳入康复组和对照组各100例。2组均进行一般的神经内科常规诊疗，康复组另给予规范的三级康复训练。观察比较2组运动和认知功能改善情况。结果脑卒中发病后6个月时综合功能结局的早期变异因素包括治疗方案、神经功能缺损（CNFD）评分、年龄、糖尿病、简化Fugl—Meyer运动功能评分（S-FMA评分）、吸烟和劳动强度；根据早期变异因素进行规范三级康复训练，发病后1、3、6个月时康复组患者运动和认知功能评分显著高于对照组，也显著高于自身入院时。结论规范的三级康复训练对于脑卒中患者各阶段运动和认知功能的提高具有明显的促进作用。Objective To explore influence of norm-setting three-stage rehabilitation training on hemiplegic stroke patients with movement and cognitive dysfunction. Methods A prospective randomized controlled study and stepwise linear regression analysis was carried out to investigate the early variation factors, which affected the integrated functional recovery of stroke patients. According to variation factors we established our norm-setting three-stage rehabilitation training program. 200 patients were randomly selected, according to the cerebral infarction and cerebral hemorrhage classification, and then randomly divided into the rehabilitation group and the control group with 100 patients in each group. All patients accepted general neurology routine nursing. The rehabilitation group was given an extra norm-setting three-stage rehabifitation training. The improvement of motor and cognitive function were observed. Results The early variation factors of integrated functional outcome were treatment programs, CNFD score, age, diabetes, S- FMA score, smoking and the intensity of labor within six months since stroke onset. Movement and cognitive function of the rehabilitation group significantly improved than the control group as well as upon admission on the first, 3rd and 6th months since stroke onset. Conclusions The norm-setting three-stage rehabilita- tion training obviously promotes the improvement of motor and cognitive function at all stages.

关 键 词：脑卒中 三玻康复 运动和认知功能 

分 类 号：R651.2[医药卫生—外科学]