超早期康复干预对老年急性缺血性脑卒中患者康复效果的影响分析  

Effect of ultra early rehabilitation intervention on the rehabilitation effect of elderly patients with acute ischemic stroke

作　　者：范乐乐 于杰[1] Fan Lele;Yu Jie(Department of Emergency Rescue Room,the First People's Hospital of Lianyungang,Jiangsu,Lianyungang 222000,China)

机构地区：[1]连云港市第一人民医院急诊抢救室,江苏连云港222000

出　　处：《中国医学前沿杂志（电子版）》2021年第12期138-142,共5页Chinese Journal of the Frontiers of Medical Science(Electronic Version)

摘　　要：目的分析超早期康复干预对老年急性缺血性脑卒中患者康复效果的影响。方法选取2017年9月至2019年9月连云港市第一人民医院收治的82例老年急性缺血性脑卒中患者为研究对象。使用随机数字表法将入选患者分为观察组和对照组,每组各41例,均予常规药物治疗,对照组患者于生命体征稳定后48 h接受康复干预,观察组患者于生命体征稳定后12 h内接受床旁康复、良肢位摆放、低频脉冲电刺激等超早期康复干预。比较两组患者治疗前、出院后1个月、出院后3个月、出院后6个月的日常生活活动能力(activities of daily living,ADL)量表、美国国家卫生院卒中量表(National Institutes of Health stroke scale,NIHSS)、Fugl-Meyer量表(Fugl-Meyer assessment,FMA)评分,并评价患者出院3个月时的临床疗效。结果两组患者出院后1个月、3个月、6个月ADL量表评分、FMA评分均显著高于本组治疗前(均P<0.05),NIHSS评分均显著低于本组治疗前(均P<0.05);观察组患者出院后1个月、3个月ADL量表评分和FMA评分均显著高于同期对照组(均P<0.05),NIHSS评分均显著低于同期对照组(均P<0.05)。出院后3个月,观察组患者治疗总有效率显著高于对照组(P<0.05)。结论超早期康复干预能够改善老年急性缺血性脑卒中患者出院后早期日常生活活动能力、神经功能和运动功能,促进患者早期康复并改善其预后。Objective To analyze the effect of ultra early rehabilitation intervention on the rehabilitation effect of elderly patients with acute ischemic stroke.Method Eighty-two elderly patients with acute ischemic stroke in the First People's Hospital of Lianyungang from September 2017 to September 2019 were included in the study.The patients were divided into observation group and control group by random number table method,with 41 cases in each group.All patients were treated with routine medication,patients in control group received rehabilitation intervention 48 h after the vital signs were stabilized,while patients in observation group received ultra early rehabilitation interventions such as bedside rehabilitation,placement of good limbs,low-frequency pulse electrical stimulation,etc.within 12 h after the vital signs were stabilized.The activities of daily living(ADL)scale,National Institutes of Health stroke scale(NIHSS)and Fugl-Meyer assessment(FMA)were compared between the two groups before treatment and at 1 month,3 months and 6 months after discharge,and to evaluate the clinical efficacy at 3 months after discharge.Result The ADL scale and FMA scores of the two groups at 1 month,3 months and 6 months after discharge were significantly higher than before treatment(all P<0.05),and NIHSS scores were significantly lower than before treatment(all P<0.05).The ADL scale and FMA score in observation group were significantly higher than those in control group at 1 month and 3 months after discharge(all P<0.05),and the NIHSS score was significantly lower than that in control group(P<0.05).At 3 months after discharge,the total effective rate in observation group was significantly higher than that in control group(P<0.05).Conclusion Ultra early rehabilitation intervention can improve the activities of daily living,nerve function and motor function of elderly patients with acute ischemic stroke,promote early rehabilitation and improve the quality of prognosis.

关 键 词：超早期康复干预 老年 急性缺血性脑卒中 康复效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]