医院-家庭康复模式对脑卒中偏瘫患者运动功能的影响

发布时间：2018-01-01 06:42

本文关键词：医院-家庭康复模式对脑卒中偏瘫患者运动功能的影响　出处：《新疆医学》2016年10期 　论文类型：期刊论文

【摘要】：目的观察医院-家庭康复模式对脑卒中偏瘫患者运动功能及日常生活活动能力的影响。方法观察入选的100例首次发病的脑卒中偏瘫患者,随机分为治疗组和对照组,其中治疗组53例,对照组47例。两组均在医院进行早期康复治疗。治疗组出院时由康复团队针对患者病情制定详细、个体化的家庭康复治疗方案,并对其家属进行康复技能指导培训,确保出院后患者在家中严格按照方案进行康复训练,并定期到医院复诊、评估及调整方案;对照组出院后常规按医嘱进行家庭自我康复,并规定门诊随访时限。两组于出院时、出院后6个月、12个月分别对患者的运动功能(Fugl-Meyer运动功能评分)及日常生活活动能力(改良Barthel指数评分)进行评定。结果出院时两组患者的Fugl-Meyer运动功能评分、改良Barthel指数评分基线水平对比无明显差异(P0.05)。出院后6个月治疗组上肢、手、下肢Fugl-Meyer运动功能评分、改良Barthel指数评分改善均优于对照组,差异有统计学意义(P0.05);出院后12个月治疗组上肢、下肢Fugl-Meyer运动功能评分、改良Barthel指数评分改善均优于对照组,差异有统计学意义(P0.05)。结论医院-家庭康复模式可显著改善脑卒中偏瘫患者的运动功能及日常生活活动能力,不失为一种行之有效的康复治疗延续模式,值得研究探索。
[Abstract]:Objective To observe the effect of the mode of hospital family rehabilitation and the activities of daily living on motor function in hemiplegic stroke patients. Methods a total of 100 patients with first onset stroke patients were randomly divided into treatment group and control group, 53 cases in treatment group, 47 cases in the control group. Two groups were given early rehabilitation in hospital. The treatment group when discharged by the rehabilitation team for the patient's condition to develop a detailed plan, individual home rehabilitation treatment, rehabilitation training and skills guidance to their families, to ensure that the discharged patients at home in strict accordance with the plan of rehabilitation training, and regularly to the hospital referral, assessment and adjustment plan; the control group was according to routine doctor of family self rehabilitation, and provides outpatient follow-up time. The two groups in the hospital, 6 months after discharge, 12 months respectively with motor function (Fugl-Meyer motor function score and daily) ADL (modified Barthel index score) were evaluated. The results of the two groups of patients at discharge Fugl-Meyer motor function score, no significant difference between the modified Barthel index score at baseline comparison (P0.05). After 6 months of treatment group of upper limbs, hands, lower extremity Fugl-Meyer motor function score, modified Barthel index score was better than the control group, the difference was statistically significant (P0.05); the treatment group of upper limb 12 months after discharge, lower extremity Fugl-Meyer motor function score, modified Barthel index score was better than the control group, the difference was statistically significant (P0.05). Conclusion the hospital family rehabilitation mode can significantly improve motor function in patients with stroke and daily life activities. It is a continuation of the effective rehabilitation mode, worthy of exploration.

【作者单位】：新疆自治区人民医院康复医学科;
【基金】：新疆维吾尔自治区人民医院院内科研项目(20130260)
【分类号】：R743.3
【正文快照】： 随着社会人口老龄化、和疾病谱逐渐转向慢性病,脑卒中成为威胁人类健康的重大疾病之一。具有高发病率、高致死率、高致残率、高复发率的特点。脑卒中的防治已经成为国家重大战略问题。十一五期间的中国国家卒中登记(China NationalStroke Registry,CNSR)研究发现在中国脑卒中

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