《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (2): 158-160.

• 论文 • 上一篇    下一篇

规范化综合性康复对脑卒中患者日常生活活动能力的影响

王传杰，杨颖   

  1. 复旦大学附属金山医院康复科，上海市201508。
  • 收稿日期:2012-07-27 修回日期:1900-01-01 出版日期:2013-02-25 发布日期:2013-02-25
  • 通讯作者: 杨颖

Effect of Standardized Comprehensive Rehabilitation Treatment on Activities of Daily Living of Stroke Patients

WANG Chuan-jie,YANG Ying.   

  1. Department of Rehabilitation, Jinshan Hospital, Fudan University, Shanghai 201508, China
  • Received:2012-07-27 Revised:1900-01-01 Published:2013-02-25 Online:2013-02-25

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被引次数

17

摘要： 目的探索规范化综合性康复治疗对脑卒中患者日常生活活动能力(ADL)的影响。方法60 例脑卒中患者随机分为康复组(n=30)和对照组(n=30)，两组均接受常规内科治疗，康复组在此基础上给予规范化综合性康复治疗。分别于入院时、发病后第1、2、3 个月末，采用Barthel 指数(BI)评定ADL。结果对照组第1 个月末BI 显著高于入院时(P=0.000)，第2 个月末(P=0.375)、第3 个月末(P=0.237)与第1 个月末比较无显著性差异。康复组第1、2、3 个月末BI 均显著高于入院时(P=0.000)。两组患者入院时BI无显著性差异(P>0.05)，康复组在第1、2、3 个月末BI 均显著高于对照组(P=0.000)。结论规范化综合性康复治疗对提高脑卒中患者ADL能力有明显改善作用，脑卒中患者早期有自我恢复的趋势。

关键词: 规范化综合性康复, 脑卒中, 日常生活活动能力

Abstract: Objective To explore the effect of standardized comprehensive rehabilitation treatment on activities of daily living (ADL) of stroke patients. Methods 60 stroke patients were divided randomly into rehabilitation group (n=30) and control group (n=30). Both groups received routine internal medicine treatment, and the rehabilitation group received standardized comprehensive rehabilitation treatment additionally.ADL was assessed with BI at admission and 1, 2, 3 months after admission. Results In the control group, the score of BI was significantly higher 1 month after admission than at admission (P=0.000), and there was no difference 2 and 3 months after admission from 1 month after admission (P>0.05). In the rehabilitation group, the score of BI was significantly higher 1, 2 and 3 months after admission than at admission (P=0.000). There was no difference in the score of BI between 2 groups at admission (P>0.05), and the score of BI was significantly higher in the rehabilitation group than in the control group at other treatment periods (P=0.000). Conclusion Standardized comprehensive rehabilitation treatment could promote the ADL of stroke patients who have the trend of self-recovery at the early stage.

Key words: standardized comprehensive rehabilitation, stroke, activities of daily living