根据Brunnstrom分期制定针对性康复方案对脑卒中患者康复效果的影响  

Effects of developing targeted rehabilitation plan according to Brunnstrom stage on rehabilitation in patients with stroke

作　　者：冯华[1] 李瑶[1] 

机构地区：[1]济南军区总医院康复医学科,山东省济南市250000

出　　处：《国际神经病学神经外科学杂志》2015年第4期316-319,共4页Journal of International Neurology and Neurosurgery

摘　　要：目的探讨Brunnstrom分期制定针对性康复方案对脑卒中患者康复效果的影响作用。方法选取90例脑卒中患者采用随机数字表法分为实验组和对照组各45例,实验组依据Brunnstrom分期制定针对性康复方案,对照组给予常规康复治疗方法。结果康复治疗前实验组和对照组的Fugl-Meyer运动功能评分法(FAM)、改良Barthel指数(MBI)、运动功能评估量表(MAS)、美国国立卫生研究院神经功能缺损量表(NIHSS)评分和脑卒中专用生存质量量表(SS-QOL)评分差异均不具有统计学意义(P>0.05)。康复治疗后实验组的FAM评分(48.2±7.6)分、MBI评分(58.2±11.6)分、MAS评分(33.7±6.2)分和SS-QOL评分(44.8±5.3)分均高于对照组的(29.6±5.7)分、(53.6±9.8)分、(29.6±5.7)分和(40.2±5.0)分,差异均具有统计学意义(P<0.05);实验组NIHSS评分(13.5±3.8)分显著低于对照组的(15.7±4.0)分,差异具有统计学意义(P<0.05)。结论 Brunnstrom分期制定针对性康复方案较常规康复治疗对脑卒中患者具有更加显著的康复效果,具有提高患者生活质量的作用。Objective To investigate the effects of developing targeted rehabilitation plan according to Brunnstrom stage on the rehabilitation of patients with stroke. Methods Ninety patients with stroke were selected and randomly divided into experimental group and control group according to the random number table,with 45 cases in each group. The rehabilitation plan for the experimental group was developed according to Brunnstrom stage and the control group received routine rehabilitation treatment. Results Before rehabilitation treatment,the scores of Fugl-Meyer Assessment Scale（ FMA）,modified Barthel Index（ MBI）,Motor Assessment Scale（ MAS）,National Institutes of Health Stroke Scale（ NIHSS）,and Stroke-Specific Quality of Life（ SS-QOL） did not differ significantly between the experimental group and the control group（ P〉0. 05）. After rehabilitation treatment,the FMA score（ 48. 2 ± 7. 6）,MBI score（ 58. 2 ± 11. 6）,MAS score（ 33. 7 ± 6. 2） and SS-QOL score（ 44. 8 ± 5. 3） in the experimental group were significantly higher than those in the control group（ 29. 6 ± 5. 7,53. 6 ± 9. 8,29. 6 ± 5. 7,and 40. 2 ± 5. 0,respectively）（ P〈0. 05）. The NIHSS score in the experimental group（ 13. 5 ± 3. 8） was significantly lower than that in the control group（ 15. 7 ± 4. 0）（ P〈0. 05）. Conclusions Compared with routine rehabilitation treatment,developing targeted rehabilitation plan according to Brunnstrom stage has better effects on the rehabilitation of patients with stroke and can improve the patients＇ quality of life.

关 键 词：康复 脑卒中 针对性康复方案 康复效果 

分 类 号：R473.74[医药卫生—护理学]