脑梗死患者的社区康复研究  

Research on Community-based Rehabilitation of Patients with Cerebral Infarction

作　　者：徐翠萍[1] 宁波[1] 王楠[2] 谢川[2] 钟利[1] 李伟[1] 杨斐[1] 祝美蓉[1] 罗锐[1] 

机构地区：[1]成都市龙泉驿区第一人民医院神经内科,成都610100 [2]成都市龙泉驿区第一人民医院康复科,成都610100

出　　处：《华西医学》2015年第6期1092-1095,共4页West China Medical Journal

基　　金：四川省卫生厅科研课题(110109)~~

摘　　要：目的观察脑梗死患者社区康复治疗的可行性和有效性。方法将2011年3月前登记在册和2011年3月-2012年9月新入组的脑梗死患者(285例)随机分为康复组(142例)和对照组(143例);由二级综合医院神经内科和康复科的专科医师对社区医院的医师进行脑梗死康复的理论、实践培训;社区医师负责入组患者的康复治疗1年。结果康复组和对照组患者入组时在神经功能缺损评分、日常生活能力评分、焦虑量表、抑郁量表评分方面差异无统计学意义(P>0.05);入组6个月后各量表评分两组差异有统计学意义(P<0.05),12个月后差异更加显著(P<0.01),康复组均优于对照组;洼田饮水试验结果在入组6个月时即出现明显差异(P<0.05),康复组吞咽功能优于对照组。结论社区康复治疗能明显减轻脑梗死患者躯体功能和心理功能的残疾程度,全面提高患者的生活质量,助其回归社会。二级综合医院联合社区医院是实现三级神经康复的有效途径。Objective To explore the feasibility and effectiveness of community-based rehabilitation for patients with cerebral infarction. Methods ＂Ihe cerebral infarction patients （n=285） registered before March 2011 and newly involved in the research between March 2011 and September 2012 were randomly divided into rehabilitation group （n=142） and control group （n=143）. The doctors in community hospitals were trained by specialist physicians in Neurology Department and Rehabilitation Department from second-grade hospitals. Community physicians were responsible for the patients＇ rehabilitation for one year. Results No differences between the rehabilitation group and the control group in the time of enrollment situation （P 〉 0.05）. After six months of intervention, there were significant differences between the two groups of patients in neurological function, daily activity ability, anxiety and depression scale scores （P 〈 0.05）, and the difference was more significant after 12 months （P 〈 0.01）. The results of Kubota drinking experiment were significantly different between the two groups after six months of intervention （P 〈 0.05）. Conclusions Community-based rehabilitation treatment can significantly reduce the degree of physical and mental disability. The cooperation between second-grade hospitals and community hospitals is an effective way to realize three-stage neurological rehabilitation, which can better improve patients＇ quality of life and is helpful for them return to the society.

关 键 词：脑梗死 社区康复 三级神经康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]