探讨脑梗死短期住院患者的康复效益

发布时间：2018-07-16 09:02

【摘要】：目的研究脑梗死短期住院患者的康复效益。方法选取本院收治的60例脑梗死患者,分为观察组与对照组,两组采用相同的药物治疗方法。观察组每天进行以Bobath法为主的康复训练,对照组每天进行关节活动度训练与物理因子治疗,采用FIM量表对两组患者的康复效益进行评价和比较。结果两组在入院和出院时的功能独立检查运动分、认知分以及总分无明显差异(P0.05),两组住院期间功能独立检查改变有明显差异(P0.05),两组FIM改变值中只有运动项有明显差异(P0.05)。两组的康复效益比较无明显差异(P0.05)。结论早期康复治疗对于脑梗死短期住院患者只能提高其FIM中的"运动项"得分,对于患者整体ADL功能的提高没有积极意义,说明住院时间过短对脑梗死患者康复效益的提高不利的。
[Abstract]:Objective to study the rehabilitation benefit of short-term inpatients with cerebral infarction. Methods 60 patients with cerebral infarction treated in our hospital were divided into two groups: the observation group and the control group. The two groups were treated with the same medicine. The observation group was given daily rehabilitation training with Bobath method and the control group was given daily joint motion training and physical factor therapy. The rehabilitation benefits of the two groups were evaluated and compared by using FIM scale. Results there was no significant difference in motor score, cognitive score and total score between the two groups at admission and discharge (P0.05). There was significant difference in functional independent examination between the two groups during hospitalization (P0.05), and there was only significant difference in the changes of FIM between the two groups (P0.05). There was no significant difference in rehabilitation benefit between the two groups (P0.05). Conclusion early rehabilitation therapy can only improve the score of "motor item" in FIM of patients with cerebral infarction, but has no positive significance for the improvement of ADL function. It shows that too short hospital stay is unfavorable to the improvement of rehabilitation benefit of patients with cerebral infarction.
【作者单位】：黑龙江省农垦总局总医院康复科;
【分类号】：R743.33

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