3种社区康复服务模式对恢复期脑卒中偏瘫患者的影响  

3 Models of Rehabilitation Service on Stroke Patients Following Hemiplegia in Community

作　　者：罗峰[1] 曹卫星[1] 马丹[1] 

机构地区：[1]上海市杨浦区殷行社区卫生服务中心康复科,上海市200438

出　　处：《中国康复理论与实践》2011年第5期473-475,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市杨浦区医学重点项目(2009AA003-01)

摘　　要：目的观察3种社区康复服务模式对恢复期脑卒中偏瘫患者的影响。方法将87例符合入选标准的脑卒中患者随机分成康复训练组29例、训练强化组30例、随访指导组28例,采用简化Fugl-Meyer运动功能量表评定肢体运动功能,改良Barthel指数评定日常生活活动能力,分别在入组时、康复服务3个月末、6个月末时进行评价。结果各组患者入选时简化Fugl-Meyer运动功能量表、改良Barthel指数评分无显著性差异;在康复服务3个月末时,康复训练组和训练强化组简化Fugl-Meyer运动功能量表、改良Barthel指数评分均有明显改善(P<0.01),随访指导组简化Fugl-Meyer运动功能量表亦有改善,但无显著性差异(P>0.05),改良Barthel指数评分有所改善,程度不及前两组。康复服务6个月末时,训练强化组2个量表评分进一步改善,康复训练组改善幅度减缓,随访指导组量表评分无改善(P>0.05)。结论恢复期脑卒中偏瘫患者在社区接受系统、规范、持续的康复服务,能有效改善肢体运动功能,提高日常生活活动能力。Objective To compare the effect of 3 models of rehabilitation service on stroke patients following hemiplegia in community.Methods 87 stroke patients were randomly divided into rehabilitation training group（n=29）,intensive training group（n=30） and followed-up group（n=28）.Fugl-Meyer Assessment（FMA） was used to evaluate the limbs motor function and Modified Barthel Index（MBI） was used to evaluate the activities of daily living before,3 months and 6 months after intervention.Results There was no significantly difference in scores of FMA and MBI among the groups.Both the rehabilitation training group and the intensive training group improved in scores of FMA and MBI 3 months after intervention（P0.01）.The intensive training group and the rehabilitation training group improved further 6 months after intervention,while follow-up group had no improvement.Conclusion Stroke patients following hemiplegia can improve motor function and activities of daily living through systematic,standard,and ongoing rehabilitation training from professionals in community.

关 键 词：社区康复 康复服务模式 脑卒中恢复期 

分 类 号：R493.3[医药卫生—康复医学]