社区康复对后遗症期脑卒中偏瘫患者日常生活活动能力（ADL）的影响

Community recovery to sequela time apoplexy hemiparalysis patient daily life energy （ADL） influence

目的：探讨社区康复对后遗症期脑卒中偏瘫患者日常生活活动能力（ADL）的影响。方法：选择我社区脑卒中偏瘫患者284例，随机分为治疗组和对照组，分别于入选治疗前及1个月后进行改良Barthel指数、功能综合评定量表（FCA）、Fugl-Meyer量表的评分。结果：经1个月社区康复治疗后，治疗组患者Fugl—Meyer评分提高不明显，但Barthel指数与FCA量表评分均有一定程度的提高，对照组提高均不明显。结论：对后遗症期脑卒中偏瘫患者进行社区康复，虽然患者肢体运动功能改善不明显，但能大大提高患者的日常生活活动能力，从而提高患者参与社会的能力，减轻患者的家庭负担。

Objective： Discusses the community recovery to the sequela time apoplexy hemiparalysis patient daily life energy （ADL） influence. Methods：Chooses my community apoplexy hemiparalysis patient 284 examples, divides into the treatment group and the control group stochastically, separately before selected treatment and 1 month later carries on improves the Barthel index, the function synthesis evaluation meter （FCA）, Fugl-Meyer meter＇s grading. Results： After 1 month community recovery treatment, the treatment group patient Fugl-Meyer grading enhances not obviously, but the Barthel index and FCA meter grading has the certain extent enhancement, the control group enhances is not obvious. Conclusion：Carries on the community recovery to the sequela time apoplexy hemiparalysis patient, although the patient body movement function improvement is not obvious, but can sharpen patient＇s daily life energy greatly, thus enhances the patient to participate in social ability, lightens patient＇s family responsibilities.