《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 677-678.

• 临床研究 • 上一篇    下一篇

脑卒中偏瘫患者的社区三级康复

么丽春;刘俊青;张淑英   

  1. 北京中医药大学附属护国寺中医医院,北京市 100035
  • 收稿日期:2009-04-09 出版日期:2009-07-01 发布日期:2009-07-01

The Third-stage Community-based Rehabilitation on Hemiplegia after Stroke

YAO Li-chun,LIU Jun-qing,ZHANG Shu-ying   

  1. Huguosi Hospital Affiliated to Beijing University of Chinese Medicine, Beijing 100035, China
  • Received:2009-04-09 Published:2009-07-01 Online:2009-07-01

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被引次数

15

摘要： 目的 观察社区三级医疗康复方案对脑卒中偏瘫患者功能恢复的效果。方法 将158例脑卒中患者分为康复组及对照组。在规范的内科治疗、机构内一级康复的基础上，康复组给予规范的社区三级康复。在入组时、第1个月末、第6个月末分别采用美国国立卫生研究院卒中量表（NIHSS）、简式Fugl-Meyer运动功能评定量表、改良Barthel指数、Rankin修订量表（MRS）进行评定。结果 康复组在病程6个月时Fugl-Meyer评定、Barthel指数评分明显对照组（P<0.01），NIHSS及MRS评分明显低于对照组（P<0.01）。结论 脑卒中患者采取为期6个月的三级康复后，各项功能恢复明显优于仅采取一级康复，是一种有效的康复方案。

关键词: 脑卒中, 偏瘫, 社区康复, 三级康复, 运动功能, 神经功能, 日常生活活动, 结局

Abstract: Objective To observe the effects of the third-stage community-based rehabilitation program on functional recovery of stroke patients with hemiplegia. Methods 158 stroke patients with hemiplegia were divided into rehabilitation group and control group. Besides normal medicine and first-stage institution-based rehabilitation similar with that of control, rehabilitation group received a standardized third-stage community-based rehabilitation. They were assessed with the National Institutes of Health Stroke Scale (NIHSS), Fugl-Meyer Assessment (FMA), Modified Barthel Index (MBI) and Modified Rankin Scale (MRS) before, 1 month and 6 months after treatment. Results The scores of the FMA and the MBI of the rehabilitation group were higher than that of the control group (P<0.01), while were lower of the NIHSS and MRS in the rehabilitation group than in the control group at the end of the sixth month (P<0.01). Conclusion The third-stage community-based rehabilitation may improve the recovery of the stroke patients with hemiplegia.

Key words: stroke, hemiplegia, community-based rehabilitation, third-stage rehabilitation, motor function, neurological function, activity of daily living, outcome