系统性康复治疗对不同年龄脑卒中患者认知、运动及平衡功能的影响  

Effects of systematic rehabilitation therapy on cognitive,motor and balance function in stroke patients of different ages

作　　者：韩玉娟 马艳玲 徐浩明 悦芳芳 李婕旻 林依婷 陈心雅 臧大维 康晓平 HAN Yujuan;MA Yanling;XU Haoming;YUE Fangfang;LI Jiemin;LIN Yiting;CHEN Xinya;ZANG Dawei;KANG Xiaoping(Tiantan Xiaotangshan Rehabilitation Center,Beijing Xiaotangshan Hospital,Beijing 102211;Department of Rehabilitation Medicine,Beijing Tiantan Hospital Affiliated to Capital Medical University,Beijing 100050,China)

机构地区：[1]北京小汤山医院天坛小汤山康复中心,102211 [2]首都医科大学附属北京天坛医院康复医学科,100050

出　　处：《中国老年保健医学》2024年第3期18-21,共4页Chinese Journal of Geriatric Care

基　　金：首都医科大学附属北京天坛医院横向课题(编号:KY2022-121-02)。

摘　　要：目的探讨系统性康复治疗对不同年龄组脑卒中患者认知、运动及平衡功能的影响。方法选取2023年1月至2023年6月在北京小汤山医院天坛小汤山康复中心接受康复治疗的脑卒中患者50例为研究对象,根据年龄分层分为中青年组(18~59岁)22例和老年组(60~80岁)28例,两组均给予系统性康复治疗,比较两组治疗前后临床指标评分,包括简易智力状态检查量表(MMSE)评分、蒙特利尔认知评估量表(MOCA)、Fugl-Meyer运动功能(FMA)评分、Fugl-Meyer平衡功能评定、日常生活活动能力量表(ADL)。结果两组治疗后与治疗前相比,认知、运动、平衡及日常生活活动能力方面均有明显的改善,差异有统计学意义(P<0.05);治疗后两组组间在认知、运动、平衡及日常生活活动能力方面相比,差异无统计学意义(P>0.05)。结论任何年龄组脑卒中患者接受系统性康复治疗后,认知、运动、平衡等功能障碍均能得到明显改善,患者生活质量得以提升,但中青年组患者治疗效果相较于老年组未见明显优势,因此建议不应因为年龄因素而减少老年脑卒中患者常规康复的强度和持续时间。高龄脑卒中患者同样需要系统有效的康复治疗。Objective To investigate the effects of systematic rehabilitation on cognitive,motor and balance function of stroke patients in different age groups.Methods Fifty stroke patients receiving rehabilitation treatment in Tiantan Xiaotangshan Rehabilitation Center of Beijing Xiaotangshan Hospital from January 2023 to June 2023 were selected as the study objects,and were divided into the young and middle-aged group(22 cases aged 18~59 years)and the elderly group(28 cases aged 60~80 years)according to age stratigraphy.Both groups were given systematic rehabilitation treatment.The scores of clinical indicators before and after treatment were compared between the two groups,including the simple Mental State Examination Scale(MMSE)score,Montreal Cognitive Assessment Scale(MOCA),Fugl-Meyer Motor function(FMA)score,Fugl-Meyer balance function assessment,and Activity of daily Living Ability Scale(ADL).Results After treatment,there were significant improvements in cognition,movement,balance and activities of daily living in both groups compared with before treatment,with statistical significance(P<0.05).There were no significant differences in cognition,movement,balance and activities of daily living between the two groups after treatment(P>0.05).Conclusion After stroke patients of any age group receive systematic rehabilitation treatment,cognitive,motor,balance and other dysfunction can be significantly improved,and the quality of life of patients can be improved.However,the treatment effect of middle-aged and young patients has no obvious advantage compared with the elderly group,so we suggest that the intensity and duration of routine rehabilitation of elderly stroke patients should not be reduced due to age factors.Elderly stroke patients also need systematic and effective rehabilitation treatment.

关 键 词：系统性 康复治疗 不同年龄组 脑卒中 认知 平衡功能 

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]