应用三级康复治疗体系对脑损伤后功能恢复的影响

Clinical influence of three-step convalescence system on functional recoveries after cerebral damage

目的探讨应用三级康复治疗体系对脑损伤后患者神经功能缺损程度、运动功能及日常生活能力的影响,为脑损伤后患者的康复制定最佳方案。方法 94例脑损伤后偏瘫患者分为三级康复治疗组(治疗组)47例和对照组47例。治疗组患者急性期在病情稳定后即行康复治疗,恢复期到我院继续进行康复治疗,维持期在社区或家庭延续康复治疗;对照组恢复期开始进行康复治疗,维持期自行在家进行锻炼。分别于入选时、第2周末、第6周末、第10周末及第6个月末,对两组患者进行神经功能缺损程度评分、运动功能评定及日常生活能力评定。结果两组患者神经功能缺损评分、运动功能和日常生活能力的改善程度,在入选时、第2周末差异无统计学意义(P>0.05);第6周末、第10周末及第6个月末,治疗组明显好于对照组,两组比较差异有统计学意义(P<0.05)。结论三级康复治疗体系对脑损伤后患者减少神经功能缺损程度、提高运动功能恢复具有良好的促进作用,从而改善患者的日常生活能力。

Objective To investigate the influence of three-step convalescence system on neural functional defect,motor function and life quality so as to frame the best convalescence approach to the patients with cerebral damage. Methods A total of 94 cerebral damage patients with hemiplegy were divided into three-step convalescence group and control group. The former group began to receive recovery treatment at early stage as soon as their condition had become stable,continued to receive convalescence treatment in our sanatorium at convalescence stage,and went on with continued convalescence treatment in community or at home at maintaining stage. The latter group received convalescence treatment in our sanatorium at convalescence stage,and went on with convalescence treatment at home at maintaining stage. Both the two groups were measured neural functional defect,motor function and daily life ability,respectively at the beginning,at the 2nd-,6th-and 10th weekend,and at the 6th month end. Results Although there was no significant differences in neural functional defect scoring, motor function and daily life ability at the beginning and 2nd weekend,the treatment outcome of the three-step convalescence group was statistically better than that of the control group at the 6th-and 10th weekend,and at the 6th month end. Conclusions Three-step convalescence system helps to reduce the neural functional defect,promote the motor functional recovery,and improve the daily life ability and the survival quality of patients with cerebral damage.