脑卒中偏瘫患者康复疗效的评价

Evaluation of effects of rehabilitation treatment for functional recovery of hemiplegic extremities

79例脑卒中偏瘫住院患者,接受3个月至1年以上的康复治疗,所有患者分为3组,第1组40例病程在3个月以内,第2组22例病程在4～12个月,第3组17例病程在1年以上。在康复治疗前后,患者偏瘫肢体功能评测采用上田敏标准化的偏瘫功能12级法和Barthel指数等方法。每个病人均由康复医师、护士、理学治疗士、作业治疗士,必要时语言治疗士和社会工作者组成的小组进行2～3次以上的康复评价。结果表明,在脑卒中偏瘫患者手的机能、步行能力,以及日常生活活动等方面的进步,病程在3个月以内的明显地优于病程在4～12个月和1年以上的脑卒中患者(P<0.05)。而病程在4～12个月和1年以上的两组病人之间没有显著性差异。

79 stroke patients were admitted for study of stroke rehabilitation in China Rehabilitation Research Center. All the patients were divided into three groups. The first group, within three months after stroke in 40 cases. The second group, four to twelve months after stroke in 22 cases. The third group, more than one year after stroke in 17 cases. In this study, before and after rehabilitation treatment, the functional recovery of stroke, measured by the method of 12 stages of Ueda Satoshi standardized hemiplegic function and ADL Barthel Index,and the patienst were evaluated individually by team of consisting of physiatrist, nurse, physical therapist, occupational therapist, sometimes speech therapist and social worker for two to three times. The results of hemiplegic extremities motor and hand function recovery,walking capability,the gain of ADL Barthel Index showed that the first group was better than the other two groups(P<0.05),it was statistically significant. However, in the above results, there was no statistical difference between the second group and the third group.