《中国康复理论与实践》

《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (12): 747-749.

• 论著 • 上一篇    下一篇

老年脑卒中患者慢性期康复治疗探讨

朴春花; 桑德春   

  1. 北京博爱医院综合康复科 北京市 100077
  • 收稿日期:2002-07-12 出版日期:2002-12-25 发布日期:2002-12-25

Study of rehabilitation treatment on old patients with stroke at restoration stage

PIAO Chun-hua, SANG De-chun   

  1. Beijing Charity Hospital, Beijing 100077, China
  • Received:2002-07-12 Published:2002-12-25 Online:2002-12-25

PDF (PC)

被引次数

10

摘要： 目的探讨老年脑卒中患者慢性期康复治疗的重点及意义。方法对26例住院的脑卒中患者,分别于康复治疗前及治疗8周后进行肢体运动功能、肌张力、患侧负重能力、关节活动度、平衡功能、步行能力、日常生活活动能力的评定,比较前后评定结果。结果肢体的功能分级及肌张力无明显的变化,步行能力及日常生活活动能力等有较明显的变化(P<0.01)。结论老年脑卒中患者慢性期康复治疗有别于急性期康复治疗,前者以促进潜在残存功能的恢复为主,后者以防治废用综合征、改善整体身心功能状态为重点。

关键词: 脑卒中, 慢性期, 老年人, 康复治疗

Abstract: ObjectiveTo discuss the main point of rehabilitation treatment on old patients with stroke at restoration stage.Methods26 cases in hospital patients were performed a 8-week (5 days/week) rehabilitation program. Before and after rehabilitation treatment evaluations of locomotion function, muscle tone, range of movement of joints, ability of balance, ambulation and activities of daily living for affected limbs were performed and compared each other. Resultse grade of function and muscle tone of affected limbs had no distinct changes, while the locomotion function and ability of activities of daily living improved significantly(P<0.01). Conclusions Rehabilitation treatment for old patients with stroke at restoration stage is different from the acute stage. In the former case it is focused on facilitating the potential function, while in the latter it is emphasized on preventing and curing disuse syndrome and improving maladaptive behaviors.

Key words: stroke, restoration stage, elderly, rehabilitation treatment