多样化康复小组模式对脑梗死患者功能的影响  

Effect of diversification rehabilitation team mode on function in patients with cerebral infarction

作　　者：焦睿[1] 蓝素文[1] 刘恒[1] 梁明华[1] 余淑芳[1] 朱芬[1] 周晓媚[1] 石娇[1] 

机构地区：[1]南方医科大学附属深圳宝安医院康复医学科,518101

出　　处：《中国医师进修杂志》2016年第12期1072-1075,共4页Chinese Journal of Postgraduates of Medicine

摘　　要：目的观察多样化康复小组模式对脑梗死患者功能的影响。 方法将66例脑梗死患者按康复治疗方法分为多样化康复小组模式组（多样化组）和常规康复模式组（常规组），每组33例，两组均康复治疗2周，于治疗前、治疗后采用简化Fugl-Meyer运动功能量表评定运动功能，采用改良Barthel指数评价日常生活能力，采用SF-36健康调查简表评价生命质量，并于治疗后评定患者满意度。 结果多样化组治疗后简化Fugl-Meyer运动功能量表评分、改良Barthel指数评分、SF-36健康调查简表评分和患者满意度明显优于常规组[（76 ± 4）分比（63 ± 3）分、（65 ± 3）分比（52 ± 4）分、（57 ± 7）分比（44 ± 6）分、（92 ± 5）分比（77 ± 3）分]，差异有统计学意义（P〈0.05）。 结论两种康复模式均能促进脑梗死患者的功能恢复，但是多样化康复小组模式可能效果更好。Objective To compare the effect of diversification rehabilitation team mode on function in patients with cerebral infarction. Methods Sixty-six patients with cerebral infarction were divided into diversification rehabilitation team mode group （diversification group） and routine rehabilitation mode （routine group） according to the rehabililation method with 33 cases each. All patients of 2 groups were treated for 2 weeks. Evaluations were made before and after treatment. The simplified Fugl-Meyer motor function rating scale was used to evaluate motor function, modified Barthel index was used to evaluate activities of daily living, and MOS 36-item short form health survey was used to evaluate quality of life; and 0 - 100 digital simulation assessment was used to evaluate patient satisfaction after treatment. Results The simplified Fugl-Meyer motor function rating scale score, modified Barthel index score, MOS 36-item short form health survey score and patient satisfaction rate after treatment in diversification group were significantly better than those in routine group： （76 ± 4） scores vs. （63 ± 3） scores, （65 ± 3） scores vs. （52 ± 4 ） scores, （57 ± 7） scores vs. （44 ± 6） scores, （92 ± 5） scores vs. （77 ± 3） scores, and there were statistical differences （P 〈 0.05）. Conclusions Both kinds of rehabilitation model can promote functional recovery in patients with cerebral infarction, but diversification rehabilitation team model is better than conventional model.

关 键 词：脑梗塞 康复 治疗结果 

分 类 号：R743.33[医药卫生—神经病学与精神病学]