早期康复临床路径对缺血性脑卒中患者功能恢复影响的多中心、单盲、随机对照研究
发布时间：2019-07-23 12:38
【摘要】：目的:明确早期康复临床路径联合康复方案对缺血性脑卒中患者日常生活活动能力、运动功能的影响,为脑卒中早期康复临床路径的优化和推广提供数据支持。方法:符合纳入标准的缺血性脑卒中患者286例,随机分为临床路径组(n=143)和常规康复组(n=143)。临床路径组入组后进入脑卒中早期康复临床路径及相应的康复治疗方案,常规康复组采取一般康复治疗,不进入临床路径,对康复治疗内容及时间不做要求。分别于入组前和临床路径介入后第三周末(即出院时)采用改良Barthel指数(modified Barthel index,MBI)和Fugl-Meyer运动功能评分量表(Fugl-Meyer motor assessment scale,FMA)评估两组患者的日常活动能力和运动功能。结果:临床路径组康复治疗前后的MBI差值、MBI改善程度((MBI后-MBI前)(/100-MBI前)×100%)均显著高于常规康复组,差异有显著性意义(P0.05)。两组患者康复治疗前后FMA差值及FMA改善程度([FMA后-FMA前)/(100-FMA前)×100%]比较差异无显著性意义(P0.05)。结论:早期康复临床路径结合规范化的康复方案能提高缺血性脑卒中患者的日常活动能力的恢复。
[Abstract]:Objective: to clarify the effect of early rehabilitation clinical pathway combined with rehabilitation scheme on daily living ability and motor function of patients with ischemic stroke, and to provide data support for the optimization and popularization of clinical pathway of early rehabilitation of cerebral apoplexy. Methods: 286 patients with ischemic stroke were randomly divided into clinical pathway group (n 鈮，
本文编号：2518157
[Abstract]:Objective: to clarify the effect of early rehabilitation clinical pathway combined with rehabilitation scheme on daily living ability and motor function of patients with ischemic stroke, and to provide data support for the optimization and popularization of clinical pathway of early rehabilitation of cerebral apoplexy. Methods: 286 patients with ischemic stroke were randomly divided into clinical pathway group (n 鈮，
本文编号：2518157
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