综合康复疗法与简单康复疗法治疗老年急性脑卒中疗效比较

The comparison of effects of comprehensive rehabilitation therapy and simple rehabilitation therapy on old acute stroke patients

目的观察综合康复疗法与简单康复疗法治疗老年急性脑卒中的疗效。方法72例老年急性脑卒中患者随机分为两组,简单康复疗法组32例,以Bobath治疗为主;综合康复疗法组40例,除采用Bobath治疗外,增加中药、针灸治疗,两组治疗时间均为6周,每周进行临床神经功能缺损程度(NIHSS)、日常生活活动能力(ADL)评分。结果治疗3周后,两组的ADL、NIHSS评分较治疗前均有改善,但无组内和组间显著性差异;治疗6周后,简单疗法组的ADL、NIHSS评分较治疗前有显著性差异(P<0.05),综合疗法组有非常显著性差异(P<0.01),但两组间无显著性差异。结论综合康复疗法与简单康复疗法对老年急性脑卒中患者均有较好的疗效,无明显优劣。

ObjectiveTo observe the effects of comprehensive rehabilitation therapy and simple rehabilitation therapy on old acute stroke patients.Methods72 old acute stroke patients were randomly divided into 2 groups: the simple rehabilitation group (n=32) treated with Bobath therapy only, the comprehensive rehabilitation group (n=40) added with acupuncture and Chinese herbs besides Bobath therapy. The courses of two groups were all 6 weeks. The scores of NIHSS (The US NIK Stroke Scale) and activities of daily living (ADL) of patients of two groups were assessed every week.ResultsAfter 3 weeks, scores of NIHSS and ADL of patients in both groups improved, but there were no significant differences between two groups and in each group compared with before. After 6 weeks, there were significant differences in the simple rehabilitation group ( P<0.05) and in the comprehensive rehabilitation group ( P<0.01), but there was no difference between two groups.ConclusionComprehensive rehabilitation therapy and simple rehabilitation therapy are also effect on old acute stroke patients; there isn't difference on effects of two therapies.