老年脑梗死的康复治疗效果  

Rehabilitation treatment effect on elderly patients with cerebral infarction

作　　者：秦昭[1] Qin Zhao(Department of Rehabilitation Medicine, Shanxi People＇ s Hospital, Taiyuan 030012, Chin)

机构地区：[1]山西省人民医院康复医学科,太原030012

出　　处：《中国实用医刊》2018年第2期66-68,共3页Chinese Journal of Practical Medicine

摘　　要：目的 探讨康复治疗对老年脑梗死患者的治疗效果.方法 选取老年脑梗死患者82例,随机分为对照组和观察组,对照组45例,观察组37例.对照组患者给予常规药物治疗,观察组患者在同等常规药物治疗的基础上给予康复性肢体锻炼和结合脑循环治疗仪的康复治疗.两组患者治疗前后均进行NIHSS评分和BI指数评分,对两组患者的治疗效果进行评估,并比较两组患者出院后2年内的生存情况.结果 观察组治疗后NIHSS评分显著低于对照组,且显著低于治疗前,对照组治疗后NIHSS评分显著低于治疗前;观察组治疗后BI指数评分显著高于对照组,且显著高于治疗前,对照组治疗后BI指数评分显著高于治疗前.观察组患者治疗后总有效率显著低于对照组（P〈0.05）.观察组患者2年累积生存率明显高于对照组（83.78％比57.78％）,差异均有统计学意义（P〈0.05）.结论 康复治疗对老年脑梗死患者具有重要的治疗作用,可在临床大力推广.Objective To investigate the effect of rehabilitation therapy on elderly patients with cerebral infarction. Methods Eighty-two elderly patients with cerebral infarction were randomly divided into the control group and the observation group. There were 45 cases in the control group and 37 cases in the observation group. The control group were given routine drug treatment,and the observation group were given limb rehabilitation exercise combined with brain cycle therapy based on the same drug treat-ment. The national institutes of health stroke scale NIHSS score and Barthel index （BI）score before and after treatment was made,and the treatment effects of the two groups were evaluated,and the survival of the patients in the two groups after discharge within 2 years were compared. Results After treatment,the NIHSS score in obseration group was significantly lower than that of the control group,and was signifi-cantly lower than that before treatment;the NIHSS score in control group was significantly lower after treatment than that before treatment;after treatment the BI score in observation group was significantly higher than that of the control group,and was significantly higher than that before treatment;BI index score in the control group was significantly higher after treatment than that before treatment. The total ef-ficiency was significantly lower in the observantion group than that in the control group（P 〈 0. 05）. The 2 year cumulative survival rate of the observation group was significantly higher than that of the control group （83. 78% vs. 57. 78%）,the differences were significant （P 〈 0. 05）. Conclusions Rehabilita-tion therapy has an important therapeutic effect on elderly patients with cerebral infarction,which can be vigorously promoted in clinical.

关 键 词：康复治疗 老年脑梗死 治疗效果 

分 类 号：R743.33[医药卫生—神经病学与精神病学]