早期康复训练对急性缺血性脑卒中患者精神障碍的影响  

Effect of early rehabilitation training on mental disorders after acute ischemic stroke

作　　者：符泽娟 王明霞 周娃梅 王爱花[1] Fu Zejuan;Wang Mingxia;Zhou Wamei;Wang Aihua(Department of Elderly,Hainan Provincial Anning Hospital,Haikou 570206,Hainan,China)

机构地区：[1]海南省安宁医院老年科,海南海口570206

出　　处：《血管与腔内血管外科杂志》2024年第8期983-986,1015,共5页Journal of Vascular and Endovascular Surgery

基　　金：海南省卫生计生行业科研项目(1901032024A2008)。

摘　　要：目的 探讨早期康复训练对急性缺血性脑卒中患者精神障碍的影响。方法 收集2021年3月至2024年2月于海南省安宁医院就诊的98例急性缺血性脑卒中患者的临床资料,根据患者是否接受早期康复训练将其分为早期组(n=51)和对照组(n=47),比较两组患者开始康复训练的时间,记录两组患者入院时、出院后1个月时的日常生活能力Barthel评分、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分。结果 早期组患者开始康复训练时间短于对照组患者,差异有统计学意义(P﹤0.05)。住院时,两组患者Barthel、HAMA、HAMD评分比较,差异均无统计学意义(P﹥0.05);出院后1个月时,早期组患者Barthel评分高于对照组患者,HAMA、HAMD评分均低于对照组患者,差异均有统计学意义(P﹤0.05)。两组患者均未发生吸入性肺炎、压力性损伤以及下肢深静脉血栓。结论 早期康复训练可以显著改善急性缺血性脑卒中患者出院后的精神障碍和日常生活能力,值得在临床上推广应用。Objective To explore the effect of early rehabilitation training on mental disorders after acute ischemic stroke.Method Clinical data of 98 patients with acute ischemic stroke treated in Hainan Provincial Anning Hospital from March 2021 to February 2024 were collected.According to whether the patients received early rehabilitation training,they were divided into early group(n=51)and control group(n=47),the time of starting rehabilitation training between the two groups was compared.Barthel score,Hamilton anxiety scale(HAMA)score,Hamilton depression scale(HAMD)score at admission and 1 month after discharge between the two groups were recorded.Result The time of rehabilitation training in the early group was shorter than that in the control group,the difference was statistically significant(P﹤0.05).At hospitalization,there were no significant differences in Barthel,HAMA and HAMD score between the two groups(P﹥0.05).One month after discharge,Barthel score in the early group were higher than those in the control group,HAMA and HAMD score were lower than those in the control group,with statistical significance(P﹤0.05).No aspiration pneumonia,pressure injury or deep venous thrombosis occurred in both groups.Conclusion Early rehabilitation training can significantly improve the mental disorders and daily living ability of patients with acute ischemic stroke after discharge,and is worthy of clinical application.

关 键 词：早期康复训练 急性缺血性脑卒 精神障碍 日常生活能力 

分 类 号：R543[医药卫生—心血管疾病]