社区康复对脑卒中患者运动功能和日常生活活动能力的影响

Related factors of motive function and activities of daily living on stroke patients with community-based rehabilitation

目的:探讨影响社区脑卒中患者运动功能和日常生活活动能力康复效果的相关因素。方法:282例脑卒中患者随机分为社区康复组172例和对照组110例,社区康复组进行康复治疗和随访,对照组只进行随访。于入组和治疗5个月后,应用Barthel指数(BI)、临床神经功能缺损评分量表(NIM)对两组患者进行评定。结果:治疗5个月后,社区康复组和对照组的NIM和ADL评分比较,康复组效果优于对照组(P<0.05)。新病例康复组和既往病例康复组NIM和ADL评分比较,新病例组优于既往病例组(P<0.05)。结论:社区康复治疗对提高患者运动功能和ADL的恢复作用显著;社区康复治疗介入时间越早对患者运动功能和ADL恢复的作用越明显。

Objectlve：To explore factors related to the community-based rehabilitation （CBR） outcomes of stroke patients in motive function and activities of daily living. Method： Two hundred and eighty-two patients with stroke were randomized into CBR group of 172 patients and controlled group of 110 patients. The patients in CBR group received rehabilitative treatment and follow-up therapy while the controlled group received following-up only. The modified Barthel index（MBI） and Clinical Neural Impairment Measures Scale（NIM） were applied to assess patients at the beginning of enrollment and after 5-month-long treatment respectively. Result：After 5-month-long treatment, compared to the controlled group, CBR group had a better outcome in NIM and ADL （P〈0.05）. Compared to anamnesis of the CBR group, the new cases of the CBR group had a better outcome in NIM and ADL （P〈0.05）. Conclusion： Community-based rehabilitation has a significant efficacy on the improvement of motive function and ADL; the earlier the patients receive the CBR, the better the improvement on motive function and ADL they will acquire.