综合康复干预对脑卒中后遗症期偏瘫患者的效果

发布时间：2018-11-21 10:44

【摘要】：目的探讨脑卒中后遗症期患者综合康复干预的效果。方法选取2016年7~9月乌鲁木齐市养老福利院和乌鲁木齐市一家人养老院脑卒中后遗症期偏瘫患者80例,按随机数字表法分为对照组(40例)和康复组(40例)。对照组只进行日常常规护理,康复组在对照组的基础上进行综合康复干预。两组患者均干预4周。观察干预前后患者的站立坚持时间、偏瘫肢体的运动功能、日常生活活动能力(FIM评分)及生活质量情况。结果干预前,两组站立坚持时间、运动功能评分、FIM评分和生活质量比较,差异无统计学意义(P0.05);干预后,对照组各项指标与干预前比较,差异无统计学意义(P0.05);干预后,康复组各项指标均优于干预前,且优于同期对照组,差异有统计学意义(P0.05)。结论综合康复干预不仅能改善脑卒中后遗症期偏瘫患者的站立坚持时间、运动功能情况和日常生活能力,还能提高患者的生活质量。
[Abstract]:Objective to investigate the effect of comprehensive rehabilitation intervention on patients with sequelae of stroke. Methods from July to September 2016, 80 patients with hemiplegia after stroke in Urumqi and Urumqi nursing home were randomly divided into control group (40 cases) and rehabilitation group (40 cases). Routine nursing was used only in the control group, and comprehensive rehabilitation intervention was carried out in the rehabilitation group on the basis of the control group. Both groups were treated for 4 weeks. The standing time, motor function of hemiplegic limbs, activity of daily living (FIM) and quality of life were observed before and after intervention. Results before intervention, there was no significant difference in standing time, motor function score, FIM score and quality of life between the two groups (P0.05). After intervention, there was no significant difference between each index of control group and pre-intervention (P0.05); after intervention, each index of rehabilitation group was better than that before intervention, and better than that of control group in the same period, the difference was statistically significant (P0.05). Conclusion Comprehensive rehabilitation intervention can not only improve the standing time, motor function and daily life ability of hemiplegic patients with stroke sequelae, but also improve the quality of life of the patients.
【作者单位】：新疆医科大学护理学院;新疆维吾尔自治区中医医院博士后工作站;新疆医科大学基础医学院;
【基金】：国家自然科学基金项目(81660380) 国家第十批“千人计划”项目
【分类号】：R473.74

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