康复干预对ICU脑卒中患者总体疗效的价值相关研究

The study overall efficacy value of rehabilitation intervention on the ICU patients with stroke

目的观察重症监护室(ICU)重症脑卒中患者经康复干预治疗后的总体疗效。方法治疗组患者在病情相对稳定后且在严密监护情况下,行心理辅导,早期吞咽功能训练及简单发音训练,胸肺物理治疗,头、颈部躯干及四肢的早期主、被动康复运动治疗及感应电治疗。对照组则以常规内科药物治疗。结果治疗组脑卒中患者治疗前后GCS评定比较,治疗后优于治疗前,差异有统计学意义(P<0.01);治疗组与对照组治疗后GCS评定比较,治疗组优于对照组,差异有统计学意义(P<0.01)。治疗组经康复治疗后上、下肢的FMA积分,既高于治疗前又高于对照组。差异有统计学意义(P<0.01)。结论 ICU的重症脑卒中患者,在病情相对稳定后予早期康复干预治疗是可行的,有利于后续治疗,减少偏瘫肢体的后遗症。

Objective To observe the overall efficacy of rehabilitation interventions in the intensive care unit（ICU）patients with severe stroke.Methods The ICU patients in the treatment group performed psychological counseling,training and early swallowing simple pronunciation training,chest physical therapy,head,neck,trunk and limbs of the early active and passive exercise therapy and rehabilitation induction electric treatment after relatively stable condition and close guardianship.The ICU patients in the control group performed routine medical drug treatment.Results The GCS assessed result and the limb FMA of the stroke patients in treatment group had significant difference before and after treatment（P0.01）,and the GCS assessed result of the stroke patients had significant difference between treatment group and control group（P0.01）,the limb FMA points of treatment group were higher than that of the control group with significant difference（P0.01）.Conclusion The ICU patients with severe stroke under relatively stable condition can perform early rehabilitation intervention,it is also feasible and useful follow-up treatment and reduce sequelae of hemiplegia limb.