中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
19期
2920-2921
,共2页
脑梗塞%康复,职业性%肢体功能%生活质量
腦梗塞%康複,職業性%肢體功能%生活質量
뇌경새%강복,직업성%지체공능%생활질량
Brain infarction%Rehabilitation,vocational%Limb function%Quality of life
目的 探讨早期康复治疗对急性脑梗死患者肢体功能及生活质量的影响.方法 选择120例急性脑梗死患者作为研究对象,按数字表法随机分为治疗组和对照组各60例,治疗组患者在给予药物、营养治疗的基础上给予康复治疗,在急性期给予保持良肢位,对意识清醒及病情稳定的患者由专业的康复科医师进行实施康复训练.对照组采用常规治疗.两组在入院后24 h内、入院后21 d、35 d时采用欧洲卒中量表(ESS)对其神经功能缺损程度进行评定,并在治疗35 d后采用Barthel指数(BI)对患者的日常生活活动能力进行评定,采用脑卒中生存质量量表(QOF)对患者的生活质量进行评定.结果 治疗组患者入院后35 d ESS评分为(80.3±6.6)分,明显高于入院后21 d的(74.4±7.7)分和入院后24h内的(61.4±6.5)分(t=4.5064、15.8041,均P＜0.05)；治疗组在治疗35 d后BI评分为(68.4±17.7),显著高于治疗前的(41.5±16.5)分和对照组(t=6.9845、3.1484,均P＜0.05)；治疗35 d后,治疗组QOF评分为(8.3±0.6)分,显著高于治疗前的(8.3±0.6)分和对照组(t =7.2036、6.9424,均P＜0.05).结论 早期康复治疗可以改善患者神经功能缺损,改善患者的肢体活动障碍,提高生活质量.
目的 探討早期康複治療對急性腦梗死患者肢體功能及生活質量的影響.方法 選擇120例急性腦梗死患者作為研究對象,按數字錶法隨機分為治療組和對照組各60例,治療組患者在給予藥物、營養治療的基礎上給予康複治療,在急性期給予保持良肢位,對意識清醒及病情穩定的患者由專業的康複科醫師進行實施康複訓練.對照組採用常規治療.兩組在入院後24 h內、入院後21 d、35 d時採用歐洲卒中量錶(ESS)對其神經功能缺損程度進行評定,併在治療35 d後採用Barthel指數(BI)對患者的日常生活活動能力進行評定,採用腦卒中生存質量量錶(QOF)對患者的生活質量進行評定.結果 治療組患者入院後35 d ESS評分為(80.3±6.6)分,明顯高于入院後21 d的(74.4±7.7)分和入院後24h內的(61.4±6.5)分(t=4.5064、15.8041,均P＜0.05)；治療組在治療35 d後BI評分為(68.4±17.7),顯著高于治療前的(41.5±16.5)分和對照組(t=6.9845、3.1484,均P＜0.05)；治療35 d後,治療組QOF評分為(8.3±0.6)分,顯著高于治療前的(8.3±0.6)分和對照組(t =7.2036、6.9424,均P＜0.05).結論 早期康複治療可以改善患者神經功能缺損,改善患者的肢體活動障礙,提高生活質量.
목적 탐토조기강복치료대급성뇌경사환자지체공능급생활질량적영향.방법 선택120례급성뇌경사환자작위연구대상,안수자표법수궤분위치료조화대조조각60례,치료조환자재급여약물、영양치료적기출상급여강복치료,재급성기급여보지량지위,대의식청성급병정은정적환자유전업적강복과의사진행실시강복훈련.대조조채용상규치료.량조재입원후24 h내、입원후21 d、35 d시채용구주졸중량표(ESS)대기신경공능결손정도진행평정,병재치료35 d후채용Barthel지수(BI)대환자적일상생활활동능력진행평정,채용뇌졸중생존질량량표(QOF)대환자적생활질량진행평정.결과 치료조환자입원후35 d ESS평분위(80.3±6.6)분,명현고우입원후21 d적(74.4±7.7)분화입원후24h내적(61.4±6.5)분(t=4.5064、15.8041,균P＜0.05)；치료조재치료35 d후BI평분위(68.4±17.7),현저고우치료전적(41.5±16.5)분화대조조(t=6.9845、3.1484,균P＜0.05)；치료35 d후,치료조QOF평분위(8.3±0.6)분,현저고우치료전적(8.3±0.6)분화대조조(t =7.2036、6.9424,균P＜0.05).결론 조기강복치료가이개선환자신경공능결손,개선환자적지체활동장애,제고생활질량.
Objective To investigate the impact of early rehabilitation on limb function and quality of life in patients with acute cerebral infarction.Methods 120 patients with acute cerebral infarction patients as research subjects were randomly divided into the treatment group and the control group of early rehabilitation.All patients in the 21 days within 24 hours after admission,after admission,35-day European Stroke Scale(ESS) to assess its degree of neurological deficit,and Barthel Index(BI) after 35 days of treatment on the patient's daily life activity were assessed using the stroke quality of Life Scale(QOF) assessment of the quality of life of patients.Results Early rehabilitation patients hospitalized 35d ESS score(80.3 ± 6.6)points ＞ 21d ESS score (74.4 ± 7.7)points ＞ admission within 24h score(61.4 ± 6.5)points,also significantly increased compared with the control group,the difference was statistically significance(t =4.5064,15.8041,all P ＜ 0.05);patients with early rehabilitation group therapy 35d after BI score (68.4 ± 17.7) points,significantly higher than before treatment (41.5 ± 16.5) points compared with the control group was significantly higher(t =6.9845,3.1484,all P ＜ 0.05) ; early rehabilitation group patients with 35d after QOF score(8.3 ± 0.6)points,significantly higher than before treatment(8.3 ± 0.6)points compared with the control group was significantly higher,the difference was statistically significant (t =7.2036,6.9424,all P ＜ 0.05).Conclusion Early rehabilitation treatment can improve the patient's neurological deficit,improve the patient's limb movement disorder,and improve quality of life.
