标准康复流程在脑梗死急性期患者中的应用研究  

Standard rehabilitation procedure in patients with acute cerebral infarction

作　　者：徐海艳 XU Hai-yan(The second ward of Department of Neurology,main hospital district,Yancheng first people's Hospital,Jiangsu Yancheng 224000,China)

机构地区：[1]盐城市第一人民医院主院区神经内科二病区,江苏盐城224000

出　　处：《临床医药文献电子杂志》2020年第96期5-6,10,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨标准康复流程在脑梗死急性期患者中的应用效果。方法选择2019年3月~2020年5月我院收治的40例急性期脑梗死患者,按随机数字表法分为两组,各20例。对照组行常规康复训练,观察组标准康复流程,均干预1个月。比较两组干预前、干预1月后同型半胱氨酸(Hcy)、纤维蛋白原(Fib)水平,运动功能[采用Fugl-meyer运动功能积分法(FMA)]及日常生活能力[采用日常生活活动能力量表(BI)]。结果干预1月后,两组Hcy、Fib水平均降低,且观察组低于对照组,差异有统计学意义(P<0.05);干预1月后,两组FMA评分、BI指数均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论脑梗死急性期患者中应用标准康复流程可改善Hcy、Fib水平,提高运动功能,促进日常生活活动能力的提升,值得使用。objective To explore the effect of standard rehabilitation procedure in patients with acute cerebral infarction.Methods From March 2019 to May 2020,40 patients with acute cerebral infarction were randomly divided into two groups,20 cases each.The Control Group received routine rehabilitation training and the Observation Group received Standard Rehabilitation Procedure for 1 month.The levels of homocysteine and fibrinogen(FIB)before and 1 month after intervention were compared between the two groups.FUGL-MEYER FMA was used for motor function and BI for activity of daily living(Adl).Results After 1 month intervention,HCY AND BI index of the two groups decreased,and the observation group was lower than the control group(p<0.05),FMA score and BI index of the two groups increased after 1 month intervention,and the observation group was higher than the control group,the difference was statistically significant(p<0.05).Conclusion The Standard Rehabilitation Procedure can improve the level of HCY and FIB,improve the motor function and promote the activity of daily living in patients with acute cerebral infarction.

关 键 词：脑梗死 急性期 标准康复流程 运动功能 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]