早期康复训练对缺血性脑卒中患者生活质量的影响

Effect of early rehabilitating training on the quality of life in patients with ischemic stroke

目的探讨早期康复训练对缺血性脑卒中患者康复及生活质量的影响。方法将113例急性缺血性脑卒中患者随机分为康复组57例和对照组56例。两组均采用相同的神经内科常规治疗,在此基础上对照组给予一般护理及随意功能锻炼,康复组则于患者急性期生命体征平稳后分阶段采用早期康复干预。在患者入院时、入院后第12w及第24w,采用MESSS评分表和QLI评分表分别对两组患者神经功能恢复情况和生活质量进行评价。结果入院后第12w及第24w康复组患者神经功能恢复和生活质量明显高于对照组,两组比较,差异具有统计学意义(均P<0.05)。结论对缺血性脑卒中患者早期实施康复训练,可促进患者神经功能恢复,提高患者的生活质量。

Objective To investigate the effect of early rehabilitating training on the rehabilitation and quality of life of ischemic stroke patients. Methods A total of 113 cases of acute ischemic stroke patients were randomly divided into two groups, with 57 cases in the rehabilitation group and 56 cases in the control group. Both groups were treated with the same neurological conventional therapy. In addition, the control group received general care and casual exercise, while the rehabilitation group received early rehabilitation intervention as soon as the patients＂ vital signs became stable after acute period. At the time of admission, 12 weeks and 24 weeks after admission, the recovery of neurological function and quality of life of the two groups were measured and recorded with MESSS （Modified Edinburgh-Scandinavian Stroke Scale） and QLI （The Ferrans ＆ Powers Quality of Life Index）. Results 12 weeks and 24 weeks after admission, the recovery of neurological function and quality of life of the rehabilitation group were significantly better than the control group＇s. And the difference between the two groups were statistically significant （P 〈 0.05）. Conclusion Treating ischemic stroke patients with early rehabilitation training could promote the recovery of their neurological function, and enhance their quality of life.