卒中单元早期康复治疗对偏瘫患者功能恢复的影响

Effects of early rehabilitation treatment in stroke unit on stroke hemiplegic patients

目的:研究卒中单元病房早期康复治疗对脑卒中偏瘫患者功能恢复的影响。方法:将研究对象分为卒中单元康复组318例,普通病房对照组172例,均采用常规药物治疗,卒中单元康复组早期制定标准化操作程序,给予规范的综合康复治疗。两组患者治疗前后均采用美国国立卫生研究院卒中量表(NIHSS),简式Fugl-Meyer运动量表(FMMS),改良Barthel指数(BI)进行评定,同时比较平均住院时间。结果:入院两组患者NIHSS、FMMS、BI评分无显著性差异(P>0.05),治疗后卒中单元康复组NIHSS评分明显低于对照组(P<0.001),FMMS评分明显高于对照组(P<0.001),BI评分明显高于对照组(P<0.05),平均住院时间明显短于普通病房对照组(P<0.05)。结论:卒中单元病房早期康复治疗能明显改善脑卒中患者的运动功能及日常生活活动能力,缩短病程,提高生存质量。

Objective： To explore the effects of early rehabilitation treatment in stroke unit on stroke hemiplegic patients. Method： The patients in this research were divided into two groups： stroke unit rehabilitation group（SU） 318 cases and general ward control group （GW） 172 cases. Both of two groups were treated with general medical treatment. Moreover, SU group was treated with a standard operation procedure and given standard synthetic rehabilitation treatment in early period. All patients were assessed with National Institutes of Health Stroke Scale （NIHSS）, Fugl-Meyer motor function scale （FMMS） and Barthel index （BI） and compared between two groups before and after treatment. The average hospitalization duration was compared between two groups. Result： The improving extent of all scores （NIHSS,FMMS,BI） in SU group were significantly different with that in GW group. （P〈0.05）. Average hospitalization duration in SU group were less than that in GW group （P〈0.05）. Conclusion： Early rehabilitation treatment in stroke unit could significantly improve motor function and activities of daily living, reduce the hospitalization duration and improve the quality of life in stroke patients.