康复医学专科医疗联合体中脑卒中患者康复疗效的同质化研究

发布时间：2018-01-03 03:38

本文关键词：康复医学专科医疗联合体中脑卒中患者康复疗效的同质化研究　出处：《中国康复医学杂志》2017年06期 　论文类型：期刊论文

【摘要】：目的:探究在康复医学专科医疗联合体中,脑卒中患者接受不同医疗单位的康复治疗,其疗效是否受到影响。方法:2012年10月12日—2016年2月5日纳入深圳市第二人民医院康复专科医联体深圳市第二人民医院(三级医院组)、深圳市南澳人民医院和深圳宝兴医院(二级医院组)及深圳市协康残疾人康复服务中心福田分部(社区组)脑卒中患者183例。根据脑卒中发病时间分为恢复期及后遗症期,3组患者均进行为期4周的脑卒中康复训练,包括肢体功能康复训练、功能性电刺激训练、日常生活活动能力训练,使用Fugl-meyer运动功能评定量表(FMA)、简式Fugl-meyer平衡功能评定量表(FMB)、美国国立卫生研究院卒中量表(NIHSS)及改良Barthel指数评分表(MBI)分别评定康复治疗前后运动功能、平衡功能、神经功能缺损程度及日常生活活动能力。结果:治疗后各组的FMA、FMB、NIHSS以及MBI评分与组内治疗前相比均有显著改善(P0.05),治疗后各组FMA、FMB、NIHSS及MBI评分组间比较无显著性差异(P0.05)。结论:在康复治疗方案统一的基础上,康复专科医联体内各医院脑卒中患者可达到康复治疗的同质化疗效。
[Abstract]:Objective: to explore the rehabilitation treatment of stroke patients by different medical units in the consortia of rehabilitation medicine. Methods: from October 12th 2012 to February 5th 2016, it was included in Shenzhen second people's Hospital (Grade 3 hospital group). Shenzhen Nanao people's Hospital and Shenzhen Baoxing Hospital (level II Hospital Section) and Futian Branch of Shenzhen Xiekang Rehabilitation Service Centre for the disabled (Community Group). 183 patients with cerebral apoplexy were divided into convalescence period and sequelae period according to the onset time of stroke. All the patients in the three groups received 4 weeks of stroke rehabilitation training, including limb functional rehabilitation training, functional electrical stimulation training, daily life activity training. The Fugl-meyer motor function assessment scale and the Fugl-meyer balance function evaluation scale were used. The National Institutes of Health Stroke scale (NIHSS) and the modified Barthel Index scale (MBI) were used to evaluate motor function and balance function before and after rehabilitation treatment. Results: the scores of FMA-FMBNIHSS and MBI were significantly improved after treatment compared with those before treatment (P 0.05). After treatment, there was no significant difference in the scores of FMA-FMBHSS and MBI between the groups. Conclusion: on the basis of unified rehabilitation treatment, there is no significant difference in the scores of FMA-FMBHSS and MBI. Stroke patients in each hospital can achieve the same curative effect of rehabilitation therapy.
【作者单位】：深圳市第二人民医院(深圳大学第一附属医院)康复医学科;深圳南澳人民医院康复医学科;
【基金】：国家“十二五”科技支撑课题(2011BAI08B11)
【分类号】：R493;R743.3
【正文快照】： 脑卒中具有高发病率、高病死率、高致残率的特1资料与方法点[1—2]。近年来,脑卒中的病死率已呈逐年下降趋势[3],1.1一般资料但其引起的一系列功能障碍严重影响着患者的生存2012年10月12日至2016年2月5日纳入深圳质量,给家庭和社会带来沉重的负担[4]。国内康复市第二人民医院

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