家庭康复计划对脑卒中偏瘫患者运动功能恢复的影响

Effect of Family Rehabilitation Plan on Motor Function of Stroke Patients with Hemiplegia

目的观察家庭康复计划对脑卒中偏瘫患者运动功能恢复的影响。方法将64例脑卒中偏瘫患者随机分为康复计划组和对照组各32例,两组患者住院期间均接受系统康复治疗。出院回家后,康复计划组严格按照康复计划所规定的时间和内容进行康复训练,并每2周来康复门诊评估指导一次;对照组在每天训练与否、训练时间和训练内容等方面完全由自己掌握。采用FuglMeyer评测法(FMA)及改良Barthel指数(MBI)分别于治疗前、治疗5个月后对两组患者进行评定。结果治疗5个月后,两组患者的FMA评分和MBI评分均较治疗前显著提高(P<0.001),但康复计划组的康复效果显著优于对照组(P<0.001)。结论家庭康复计划可以明显促进脑卒中偏瘫患者运动功能的恢复。

Objective To observe the effect of family rehabilitation plan （FRP） on motor function of stroke patients with hemiplegia. Methods 64 patients were randomly divided into the FRP group （32 cases） and control group （32 cases）. The patients in the FRP group critically followed the schedule and activities scheduled on FRP and were assessed and guided in out-patient department every two weeks. The patients in the control group made schedule and carried on activities by themselves. Motor function was assessed with Fugl-Meyer Assessment （FMA） and modified Barthel index （MEI） respectively. Results Motor scores of the patients in two groups significantly increased after treatment （ P d0. 001） , and that of the FRP group was significantly better than that of the control group （ P d0. 001 ）. Conclusion The FRP can significantly improve motor function of stroke patients with hemiplegia.