老年脑卒中患者的连续规范化康复治疗方法及效果观察

Efficacy of continuous standardized rehabilitation in the elderly patients with stroke

目的分析老年脑卒中患者采用连续规范化康复治疗方法的临床疗效。方法随机选取2013年12月至2014年12月我院收治的95例老年脑卒中患者为研究对象,并将其分为试验组48例和对照组47例,其中对照组患者采用常规康复治疗,试验组患者采用连续规范化康复治疗。比较2组患者的智力状态检查量表(MMSE)和Fugl-Meyer运动功能评分量表(FMA)的评分及其临床治疗效果。结果 2组患者治疗前MMSE和FMA评分比较差异无统计学意义(P>0.05)。治疗后,试验组患者的MMSE及FMA评分均明显高于对照组(P<0.05);试验组患者的临床总有效率(89.5%)显著高于对照组(68.1%),差异具有统计学意义(P<0.05)。结论连续规范化康复治疗方法对老年脑卒中患者具有良好的临床疗效,可显著改善患者的运动功能和日常生活能力,积极改善预后,值得临床推广应用。

Objective To explore the efficacy of continuous standardized rehabilitation in the elderly patients with stroke. Methods Ninty-five elderly patients with stroke in our hospital from December 2013 to December 2014 were selected,and were randomly divided into two groups,48 cases in experimental group and 47 cases in control group.Patients in control group were treated with routine rehabilitation,and patients in experimental group were treated with continuous standardized rehabilitation. The scores of minimum mental state examination（ MMSE） and Fugl-Meyer assessment（ FMA）,clinical therapeutic effect in two groups were observed and compared. Results There were no significant differences in scores of MMSE and FMA between two groups before treatment（ P〉0. 05）.After treatment,the scores of MMSE and FMA and effective rate in experimental group were significantly higher than those in control group（ P〈0. 05）. Conclusions Continuous standardized rehabilitation method has good clinical efficacy in the elderly patients with stroke,which not only can significantly improve the patient＇s motor function and daily life ability,but also can actively improve the prognosis.