卒中单元内个体化康复训练对脑卒中患者康复效果观察

Rehabilitation efficacy of individualized rehabilitation training on stroke patients

目的观察卒中单元内个体化康复训练对急性脑卒中的康复效果。方法将106例急性脑卒中患者随机分为实验组与对照组各53例,对照组给予常规治疗及护理,实验组在常规药物治疗护理基础上给予卒中单元内个体化康复训练,比较两组患者的ADL(日常生活活动能力)、NIHSS(卒中量表)评分及各种并发症的发生率。结果治疗后实验组ADL、NIHSS评分明显优于对照组(均P<0.05);泌尿系感染、肩手综合征、抑郁症、下肢屈曲痉挛等并发症发生率较对照组低(均P<0.05)。结论卒中单元内个体化康复训练可改善患者ADL,提高患者肢体、语言、认知功能等方面的能力,明显减少脑卒中并发症,提高患者的生存质量。

Objective To investigate the rehabilitation efficacy of individualized rehabilitation training on stroke patients. Method 106 patients with acute stroke were randomly divided into the observation group （n=53） and the control group （n=53）. The control group received the routine treatment and nursing, while the observation group received t individualized rehabilitation training in the stroke unit besides routine nursing. Two groups were compared with ADL and NIHSS before and after treatment and nursing, and the complication rates of two groups were also recorded. Results The scores in ADL and NIHSS in the observation group was higher than those of control group （P〈 0.05）. The complication rate of observation group was smaller than that of the control group （P 〈 0.05）. Conclusion The individualized rehabilitation training can improve their activity ability at daily life and improve other abilities at limbs, language, cognition function as well. It can reduce complication rate of stroke obviously and increase their ability for daily life.