老年脑卒中患者的康复特点

发布时间：2018-03-01 21:26

本文关键词： 脑卒中康复特点　出处：《中国老年学杂志》2017年16期 　论文类型：期刊论文

【摘要】：目的通过比较老年与非老年脑卒中患者在日常活动、康复治疗过程及康复疗效上的差异,分析老年脑卒中患者的康复特点。方法选取80例脑卒中患者,根据年龄分为老年组(n=40)和非老年组(n=40)。所有患者均进行常规康复治疗,1次/d,每次40 min,每周治疗5 d,连续治疗4 w。在治疗前及治疗4 w后采用Fugl-Meyer运动功能量表(FMA)、Barthel指数(BI)及基本动作评定量表(ABMS)对两组患者进行功能评估。在治疗期间通过自制的患者日常活动调查表对各患者进行日常活动情况的调查。结果与非老年组相比,老年组患者每日总活动时间及主动活动时间明显缩短(P0.05);被动+主动辅助活动时间显著延长(P0.05);康复积极性及配合度明显降低(P0.05);家属对患者康复的期望值也明显低于非老年组(P0.05)。治疗前,两组患者FMA及BI评分均无显著差异(P0.05),ABMS评分非老年组明显高于老年组(P0.05);治疗4 w后,两组患者各项指标得分均较治疗前有显著提高(P0.05),而老年组BI和ABMS得分均显著低于非老年组(P0.05),但FMA评分两组比较无统计学差异(P0.05)。结论老年脑卒中患者每日总活动时间少、主动活动时间少、被动及主动辅助活动时间长、康复积极性及配合度不高、家属对老年患者的康复期望值较低,可能是影响老年脑卒中患者康复疗效的主要原因。
[Abstract]:Objective to analyze the rehabilitation characteristics of senile stroke patients by comparing the difference of daily activities, rehabilitation treatment process and rehabilitation effect between elderly and non-elderly stroke patients. Methods 80 patients with stroke were selected. All patients were treated with routine rehabilitation therapy once a day, 40 mins a week, 5 days a week for 4 weeks. Before treatment and 4 weeks after treatment, Fugl-Meyer motor function scale was used to evaluate the Fugl-Meyer motor function index. Bi) and ABMS were used to evaluate the function of the two groups. During the course of treatment, the patients were investigated with self-made questionnaire on their daily activities. The results were compared with those of the non-elderly group. In the elderly group, the total activity time and active activity time were significantly shortened, the passive active supplementary activity time was significantly prolonged, the rehabilitation enthusiasm and cooperation degree were significantly reduced, and the family's expectation of rehabilitation was significantly lower than that of the patient. In the non-elderly group, P0.05. before treatment, There was no significant difference in FMA and BI scores between the two groups. The scores of each index in the two groups were significantly higher than those before treatment, while the scores of BI and ABMS in the elderly group were significantly lower than those in the non-elderly group, but there was no significant difference in the FMA score between the two groups. Conclusion the total daily activity time of the elderly patients with stroke is less than that of the elderly patients. Less active activity time, long passive and active auxiliary activity time, low rehabilitation enthusiasm and cooperation degree, lower family members' expectation of rehabilitation for elderly patients may be the main reasons that affect the rehabilitation effect of senile stroke patients.
【作者单位】：河北省人民医院康复科;山西大医院康复科;中国人民解放军总医院;
【基金】：河北省卫生厅重点科技研究计划项目(No.20120008)
【分类号】：R49;R743.3

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