急性脑卒中三级康复方案的临床研究

Clinical Study of the Three-stage Rehabilitation in Patients with Stroke

目的:研究急性脑卒中三级康复方案建立的可行性和有效性。方法:急性脑卒中病人74例,随机分为两组,治疗组的病人按三级康复方案进行治疗,对照组的病人只接受普通康复治疗。所有病人康复治疗前行FMA、NIHSS和MBI评分,并随访6个月,随访期间每个月末再次进行上述量表的评定,并记录病人并发症的发生情况。结果:康复治疗前两组之间各项评分无显著差异(P>0．05)。随访至6个月末时,治疗组病人的FMA、NIHSS和MBI评分优于对照组(P<0． 05),并发症发生率低于时照组(P<0．05)。结论:脑卒中的三级康复方案可使康复治疗更加规范有效,能有效改善病人的功能预后,并使三级医疗资源相互衔接、合理应用。

Objective.. To study the clinical value of the three-stage rehabilitation programm in patients with stroke. Methods： 74 patients with stroke of middle cerebral artery territory were included in the study. All patients were divided into two groups randomly and followed up for 6 months. Patients in treatment group were treated with prescriptive training of three-stage reha bilitation ,while patients in control group were only received general training. Scales of Fugl-Meyer Motor Function Scale （FMA）, NIH Stroke Scale （NIHSS） and Modified Barthel Index （MBI） were utilized to assess patients＇s function respectively sand the complications of stroke were recorded before and at the end of each month during the followed-ups. Results： There were no statistical differences in scores of FMA,NIHSS and MBI between the two groups （P〉0. 05） before the trainings. At the end of 6 months, the scores of treatment group were significantly improved than those in all control group （P〈0. 05） the number of patients with stroke complications in treatment group were significantly less than that in control group （P〈0.05）. Conclusion： Establishing standard three-stage rehabilitation programm for patients with stroke may make the rehabilitation treatment more efficient. It would combine the work of stroke unit, rehabilitation ward and community medical service center efficiently.