社区康复治疗脑卒中后遗症肢体残疾的疗效观察

Observation of Curative Effects on Treatment of Patients with Limb Disability Sequela after Stroke in Community Health Service

目的评估晚期社区康复治疗对脑卒中后肢体残疾后遗症的长期疗效。方法选取古美社区卫生服务中心的脑卒中后肢体残疾后遗症患者66例,分为对照组和治疗组,对照组仅进行常规的康复指导治疗,治疗组进行规范的社区康复治疗,干预2年。分别于入组时、干预1年和2年时评估手法肌力评定(MMT肌力分级)及改良Barthel日常生活活动能力(ADL)评分。结果2组组间和治疗组分别于入组时、干预1年和2年时的MMT肌力分级比较均无显著统计学差异(P>0.05);2组入组时的ADL评分无显著统计学差异(P>0.05),但治疗组在干预1年和2年时的ADL评分显著高于对照组(P<0.01),且治疗组在干预2年时的ADL评分显著高于干预1年的ADL评分(P<0.01)。结论社区康复治疗可以显著改善脑卒中伴肢体残疾患者的生活质量,且治疗时间越长,效果越好,但对肢体肌力的恢复效果不明显。

Objective To observe the curative effects on treatment of patients with limb disability sequela after stroke in Community Health Service. Methods There were sixty-six patients with limb disabilities sequela after stroke in Gu Mei Community Health Service Center and they were randomly divided into the control group and the treatment group. The patients in the control group only received conventional rehabilitation guidances, while the patients in the treatment group were given standard community rehabilitati...