早期综合康复训练对急性脑卒中患者预后效果评价研究  

Curative effect evaluation study on prognosis of acute stroke patients carrying out early comprehensive rehabilitation training

作　　者：祝雪利[1] 

机构地区：[1]慈溪市人民医院神经内科

出　　处：《中国医院统计》2015年第3期176-178,共3页Chinese Journal of Hospital Statistics

基　　金：慈溪市科技局课题(CN2013052)

摘　　要：目的：探讨早期综合康复训练对急性脑卒中患者预后的效果及其相关影响因素。方法将120例急性脑卒中患者随机分为两组，各60例，对照组给予常规治疗，而治疗组在对照组的基础上给予早期综合康复训练措施；比较两组的总有效率，采用多因素分析法来筛选脑卒中患者预后不良的危险因素。结果经过3个月的康复治疗后，治疗组的治疗疗效总有效率高达91.7%，明显高于对照组的76.7%（P〈0.05）。多因素分析显示，年龄（OR=1.745）、高血压（OR=3.931）、脑动脉狭窄（OR=5.302）、晚就诊（OR=2.366）、未实施早康复训练（OR=8.207）、NIHSS 评分（OR=2.863）均为脑卒中预后不良的危险因素。结论急性脑卒中患者实施早期综合康复训练后，提高治疗疗效；脑卒中预后的独立危险因素较多，应有针对性的制定有效预防措施。Objective To explore the effect of prognosis of acute stroke patients carrying out early comprehensive reha-bilitation training, and the risk factors of prognosis outcome of stroke. Methods One hundred and twenty patients with acute stroke were randomly divided into control group （n=60） and treatment group （n=60）. The control group was carried out normal treatment, and the intervention group was given early comprehensive rehabilitation training measures on the basis of the control group. The indexes of total effective rate were compared between the two groups, and risk factors of not good outcome of prognosis were screened with multiple factors analysis method. Results After 3 months rehabilitation treatment, the total effective rate in the treatment group was 91. 7%, much higher than the control group （76. 7%, P〈0. 05）. Multiple factors analysis result showed that age （OR=1. 745）, hypertension （OR=3. 931）, cerebral arteriostenosis （OR=5. 302）, late visit （OR=2. 366）, without carrying out early rehabilitation training （OR=8. 207） and NIHSS score （OR=2863） were the risk factors of unfavourable prog-nosis of stroke. Conclusion Carrying out early comprehensive rehabilitation training measures for acute stroke patients might ob-viously raise clinical curative effects. There are many independent risk factors affecting the prognosis of stroke patients, so we should formulate effective preventive measures to aim directly at these risk factors.

关 键 词：脑卒中 早期康复 康复训练 预后 危险因素 

分 类 号：R743.3[医药卫生—神经病学与精神病学]