CAJ | 학술논문

目的：探讨综合康复治疗对脑卒中患者远期运动功能及生活质量的影响。方法回顾性分析我院89例脑卒中患者的临床资料，对照组46例，观察组43例，2组在采用相同的药物治疗的基础上，对照组采用常规康复治疗，观察组采用综合康复治疗，比较2组患者康复治疗前及治疗后3个月、6个月和1年的运动和日常生活能力。运动能力评价采用 Fugl －Meyer 评分，日常生活能力评价采用 Barthel 指数。结果2组患者治疗前 Fugl －Meyer 评分和 Barthel 指数无显著性差异，有可比性（P ＞0．05）；治疗后观察组患者的运动能力及日常生活能力明显优于对照组，2组患者治疗后 3个月、6个月、1年的 Fugl －Meyer 评分和 Barthel 指数的差异有统计学意义（P ＜0．05）。结论综合康复治疗可以有效锻炼脑卒中患者的运动能力及日常生活能力，对患者远期运动功能及生活质量影响极大。
목적：탐토종합강복치료대뇌졸중환자원기운동공능급생활질량적영향。방법회고성분석아원89례뇌졸중환자적림상자료，대조조46례，관찰조43례，2조재채용상동적약물치료적기출상，대조조채용상규강복치료，관찰조채용종합강복치료，비교2조환자강복치료전급치료후3개월、6개월화1년적운동화일상생활능력。운동능력평개채용 Fugl －Meyer 평분，일상생활능력평개채용 Barthel 지수。결과2조환자치료전 Fugl －Meyer 평분화 Barthel 지수무현저성차이，유가비성（P ＞0．05）；치료후관찰조환자적운동능력급일상생활능력명현우우대조조，2조환자치료후 3개월、6개월、1년적 Fugl －Meyer 평분화 Barthel 지수적차이유통계학의의（P ＜0．05）。결론종합강복치료가이유효단련뇌졸중환자적운동능력급일상생활능력，대환자원기운동공능급생활질량영향겁대。
Objective To investigate the effects of comprehensive rehabilitation on the long -term motor function and quality of life of stroke patients.Methods Clinical data were collected from 89 patients who were admitted into our hospital due to stroke and retrospectively analyzed .These patients were divided into a control group receiving routine ther-apy (n =46) and an observation group (n =43) given comprehensive therapy, in addition to the same medicinal treat-ment.Then, their motor function and capabilities of daily living were assessed before and 3, 6months and 1 year after treatment, according to Fugl -Meyer score and Barthel index respectively.Results Before treatment, no statistical difference was found as to Fugl -Meyer score and Barthel index between two groups (P >0.05).After treatment, the observation group showed more excellent capacities of motor and daily living than the control.Both groups produced sig-nificantly different Fugl -Meyer scores and Barthel index at the time point discussed (P <0.05).Conclusion Compre-hensive rehabilitation can stimulate the improvement in the capacities of motor and daily living , which may greatly affect the long-term motor function and quality of life of stroke patients .