社区康复综合模式对脑卒中后遗症期患者日常生活活动能力的影响

Effects of Syntaxic Mode of Community Based Rehabilitation on Daily Activities for Patients with Sequelae Stage of Stroke

目的:探讨社区康复综合模式(针药结合康复训练)对脑卒中后遗症期患者日常生活活动能力的影响。方法:选取社区内130例脑卒中后遗症期患者随机分成对照组、康复指导组(A)和针药结合康复训练组(B)。对照组仅给予西医内科常规治疗,康复指导组在对照组基础上对患者进行康复锻炼指导,针药结合康复训练组的干预在常规西医内科治疗的基础上给予患者现代康复治疗和中药、针灸治疗,并对患者家属进行中医养生指导。入选病例分别在入选时、治疗后6个月及12个月运用改良巴氏指数量表进行日常生活活动能力评定。结果:治疗6个月1、2个月后,康复指导组与针药结合康复组的ADL评分均优于对照组(P<0.05),针药结合康复组ADL评分优于康复指导组(P<0.05)。结论:社区康复综合模式可有效提高脑卒中后遗症患者日常活动能力并维持已获得的日常生活活动能力。

Objective：To explore an integrated model of community based rehabilitation which combines acupuncture and internal medicine（western medicine and traditional Chinese medicine） treatment with rehabilitation training,in which way daily activities of patients with sequelae stage of stroke can be improved.Methods：130 patients within the community who suffered from sequelae stage of stroke were randomly divided into one control group and two experimental groups.Control group was under the only treatment of western medicine.One of the experimental group was under rehabilitation guidance,which was recorded as experimental group A;the other one was under the treatment of acupuncture and internal medicine（western medicine and traditional medicine） combined with rehabilitation guidance and training to patients as well as their family,which was recorded as experimental group B.Modified Barthel Index for Activities of Daily Living Scale assessment was made at the time of 6 months and 12 months after treatment for the 3 groups.Results：After 6 months＇ treatment,ADL assessment for the two experimental groups was better than that of the control group（P〈0.05）.After 12 months＇ treatment,ADL assessment for the two experimental groups was better than that of the control group（P〈0.05）;ADL assessment for experimental group B was better than that of experimental A（P〈0.05）.ADL difference between the control group and the two experimental groups was significant（P 0.05）s,o was the difference between experimental A and experimental B.Conclusion：The integrated model of community based rehabilitation can effectively improve the daily activities of patients with sequelae stage of stroke and maintain the acquired ADL.