康复治疗对急性脑卒中合并心电图异常患者的影响

发布时间：2018-06-01 00:15

本文选题：脑卒中 + 康复治疗　；参考：《实用医学杂志》2016年20期

【摘要】：目的:分析康复治疗对急性脑卒中合并心电图异常患者的心功能变化、日常生活活动能力指数、日均住院费用、抗生素使用率等情况的影响。方法:将52例符合纳入标准的急性脑卒中患者,随机分为康复组(26例)与对照组(26例),对照组采用脑卒中疾病常规治疗,康复组在常规治疗基础上加用康复治疗,对两组患者的心肌酶和日常生活能力进行比较和分析。结果:康复组与对照组在治疗前一般资料指标差异均无统计学意义(P0.05),治疗后两组的心肌标志物、Barthel指数、日均住院费用及抗生素使用率差异均有统计学意义(P0.05),康复组优于对照组。结论:康复治疗可改善急性脑卒中合并心电图异常患者的心功能、提高日常生活自理能力、减少日均住院费用、减少抗生素使用率。
[Abstract]:Objective: to analyze the effects of rehabilitation therapy on the changes of cardiac function, activity index of daily living (ADL), average hospitalization cost, antibiotic utilization rate and so on in patients with acute stroke complicated with abnormal electrocardiogram (ECG). Methods: 52 patients with acute stroke were randomly divided into rehabilitation group (n = 26) and control group (n = 26). Myocardial enzymes and ADL were compared and analyzed between the two groups. Results: there was no significant difference in general data between rehabilitation group and control group before treatment (P 0.05). After treatment, there were significant differences in myocardial marker Barthel index, average hospitalization cost and antibiotic use rate between the two groups. The rehabilitation group was superior to the control group. Conclusion: rehabilitation therapy can improve the cardiac function of acute stroke patients with abnormal electrocardiogram, improve the self-care ability of daily life, reduce the daily average hospitalization cost, and reduce the utilization rate of antibiotics.
【作者单位】：上海中医药大学附属第七人民医院神经内科-神经康复科;
【基金】：上海市残疾人联合会基金项目(编号:K2014015) 上海市进一步加快中医药事业发展三年行动计划建设项目(编号:ZY3-FWMS-2-1012) 浦东新区中医特色专科建设项目(编号:PDZYXK-1-2014001)
【分类号】：R743.3;R540.41

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