综合康复治疗对脑卒中偏瘫患者日常生活能力的疗效观察  

Effects of comprehensive rehabilitation treatment on ADL in hemiplegias after stroke

作　　者：上官守琴[1] 杨志宏[1] 陈光辉[1] 徐鹏[1] 柯尊宇[1] 

机构地区：[1]湖北医药学院附属人民医院神经内科,十堰市442000

出　　处：《卒中与神经疾病》2013年第5期285-287,共3页Stroke and Nervous Diseases

摘　　要：目的观察早期综合康复治疗对脑梗死及脑出血偏瘫患者日常生活能力(ADL)的影响及其差异。方法急性脑卒中偏瘫患者42例分为脑梗死康复脑梗死组和脑出血康复脑出血组各21例。2组均接受神经内科常规药物治疗及配合康复治疗,1次/d,30 min/次,其余时间由家属协助训练;2组治疗30 d后采用Barthel指数评分。结果脑梗死组和脑出血组治疗前ADL评分具有可比性(P>0.05);治疗后ADL评分分别增加135.69%和199.51%,且2组治疗前后ADL评分差异均显著(P<0.01);治疗后脑出血组增加的ADL评分与脑梗死组相比较多(17.52±3.62)分,且2组治疗后ADL评分差异明显(P<0.05)。结论药物并配合康复治疗可提高2组的整体疗效和ADL指数,且脑出血康复组更显著。Objective investigate the effect and difference on ADL of early comprehensive rehabilitation applied to hemiplegias after stroke. Methods 42 patients were divided into two groups, the cerebral infarction group （21 cases）and cerebral hemorrhage group （21 cases）. Patients were given clinical drug treatment and re- habilitation treatment. The patients were evaluated activities of daily living（ADL）by Barthel＇s index after30 days. Results Cerebral infarction group and cerebral hemorrhage group patients ADL scores had no significant difference pre-treatment （P〈0. 05）; and two group ADL scores had significant statistical difference pre-and post-treatment （P〈0. 01）. The improvement in the cerebral hemorrhage group was greater than the Cerebral infarction group, and ADL scores had significant statistical difference post-treatment （P〈0. 05）. Conclusions Drug treatment and rehabilitation treatment can improve the therapeutic effect and ADL scores of the two groups, and the therapeutic effect of the cerebral hemorrhage group is better than the cerebral infarction group.

关 键 词：脑梗死 脑出血 康复治疗 

分 类 号：R742.3[医药卫生—神经病学与精神病学]