康复诊疗一体化系统在脑卒中患者中的临床应用  

Application of Rehabilitation Integrated System in Stroke Patients

作　　者：胡世红[1] 洪洋[2] 凌晴[1] 李志帅 何嫱[3] 许佳[1] 乔峰雷 陈庆珍 周亚飞[1] 

机构地区：[1]复旦大学附属上海市第五人民医院康复医学科,上海市200240 [2]复旦大学附属上海市第五人民医院院长办公室,上海市200240 [3]上海交通大学附属仁济医院康复医学科,上海市20011

出　　处：《中国康复理论与实践》2016年第5期608-612,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市科学技术委员会科研课题(No.13DZ194160A)

摘　　要：目的探索康复诊疗一体化系统在脑卒中康复中的应用价值。方法 2013年10月~2015年6月,95例脑卒中患者随机分为观察组（n=48）和对照组（n=47）。观察组采用康复诊疗一体化系统进行康复3个月,对照组采用常规诊疗系统下的康复3个月。分别于治疗前后采用简式Fugl-Meyer评定（FMA）评定偏瘫侧运动功能、Barthel指数（BI）评定日常生活活动能力,调查患者满意度。结果治疗前后两组FMA、BI评分差值无显著性差异（t〈1.044,P〉0.05）。观察组满意度明显优于对照组（t=4.287,P〈0.01）。结论康复诊疗一体化系统应用于脑卒中患者有利于优化就诊流程,提高工作效率和患者满意度。Objective To observe the significance of rehabilitation integrated system for stroke patients. Methods From October, 2013 to June, 2015, 95 stroke patients were divided randomly into experimental group（n=48） and control group（n=47）. The experimental group received rehabilitation under the guide of rehabilitation integrated system, while the control group in the routine process. They were assessed with simplified Fugl-Meyer Assessment（FMA） and Barthel Index（BI） before and 3 months after treatment. The satisfaction was also investigated. Results There was no significant difference between groups in the differences of scores of FMA and BI before and after treatment（t1.044, P0.05）, while the satisfaction was higher in the experimental group（t=4.287, P0.01）. Conclusion The application of rehabilitation integrated system may improve the process of treatment and the efficiency of management, and result in more satisfaction of the stroke patients.

关 键 词：脑卒中 康复 管理系统 

分 类 号：R743.3[医药卫生—神经病学与精神病学]