社区康复对脑卒中恢复期患者康复效果的相关性研究

The community recovery is restored to health the effect relevant research to the apoplexy recovery period patient

目的：研究社区康复对脑卒中恢复期患者认知功能、运动功能和日常生活活动（activities of daily living，ADL）能力的影响，并探讨患者日常生活能力提高的影响因素。方法：60例脑卒中患者，随机分为社区康复组30例和对照组30例，均接受常规药物治疗。康复组Fugl—Meyer、Barthel，MMSE、IADL初评后进行康复训练，6个月后作功能末评。对照组患者作上述功能初评，6个月后作上述功能末评。结果：干预组经康复治疗后Fugl—Meyer、Barthel，MMSE、IADL评分均明显提高（P〈0．05），差异有显著性，对照组无显著性差异。相关性检验显示：干预组IADL末评与Barthel指数、MMSE初、末评相关；与IADL初评相关。对照组IADL末评与Barthel指数初、末评相关；IADL初评相关。回归分析显示：干预组引起脑卒中患者IADL功能最终提高的主要影响因素为Barthel指数初、末评，IADL初评。对照组引起脑卒中患者IADL功能最终提高的主要影响因素为IADL初评。结论：社区康复治疗能提高恢复期患者运动功能认知功能及日常生活能力。在社区康复中，如能注重患者的认知康复训练，能进一步提高患者的康复效果。在社区康复中，日常生活自理能力训练对患者功能独立性的提高起很大的影响作用。

Objective：Studies the community recovery to the apoplexy recovery period patient cognition function, the movement function and the daily life activity （activities of daily living, ADL） ability influence, and discusses the influencing factor which patient daily life ability enhances. Methods： 60 example apoplexy patient, divides into the community recovery group 30 examples and the control group 30 examples stochastically, accepts the convention pharmacological treatment. After recovery group Fugl-Meyer, Barthel, MMSE, IADL initially comment, carries on the recovery training, 6 months later makes the function end to comment. The control group patients make the above function initially to comment, 6 months later makes the above function end to comment. Result：Intervenes the group after the recovery treatment Fugl--Meyer, Barthel, MMSE, IADL grading distinct enhancement （P〈0.05）, the difference has the significance, the control group non-significance difference. The relevant examination demonstrated： Intervention group IADL end comments with at the beginning of the Barthel index, MMSE, end comments related; Initially comments with IADL related. Control group IADL end comments with the Barthel index at the beginning, end comments related; IADL initially comments related. The regression analysis demonstrated： The intervention group causes the major effect factor which the apoplexy patient IADL function enhances finally is at the beginning of the Barthel index, end comments, IADL initially comments. The control group causes the major effect factor which the apoplexy patient IADL function enhances finally is IADL initially comments. Conclusion： The community recovery treatment can enhance the recovery period patient movement function cognition function and daily life ability. In community recovery, if can pay great attention patient＇s cognition recovery training, can further enhance patient＇s recovery effect. In the community recovery, the daily life takes care of oneself ability training to the patient function independent enhancement very tremendous influence function.