急性期脑卒中患者生活质量以及康复疗效分析

Quality of life and the efficacy of rehabilitation in patients with acute stroke

目的分析急性脑卒中患者生活质量，并探讨早期专业康复治疗对患者生活质量的影响。方法急性脑卒中患者70例，按随机数字表法随机分为康复组和对照组，每组35例。康复组采用专业康复治疗，对照组患者自行康复，分别于治疗前、治疗1个月后和治疗6个月后采用SF-36量表评定2组患者的生活质量。结果治疗前，2组患者生活质量较国人常模值明显下降，且2组患者间SF-36量表各个维度评分差异无统计学意义（P〉0．05）。治疗1个月后（对照组1例患者因再发脑出血死亡），2组患者SF-36量表评分与组内治疗前比较，差异均有统计学意义（P〈0．05），康复组患者各个维度评分改善情况均优于对照组，经统计学分析除sF维度外，其余7个维度2组间差异均有统计学意义（P〈0．05）。治疗6个月后（对照组失访2例，康复组因心衰死亡1例），2组患者SF-36量表评分与组内治疗前比较，差异均有统计学意义（P〈0．05），康复组患者各个维度评分改善情况均优于对照组，且差异均具有统计学意义（P〈0．05）。另，康复组治疗1，6个月后SF-36量表各个维度改善差值与对照组同时段比较，差异均有统计学意义（P〈0．05）。结论急性脑卒中患者生活质量明显下降，康复治疗可以有效地提高患者的生活质量。

Objective To analyze the quality of life （QOL） of patients with acute stroke, and to explore the effects of early specialized rehabilitation on their QOL. Methods Seventy patients with acute stroke were ran- domly divided into a rehabilitation group （ n = 35 ） and a control group （ n = 35 ）. The rehabilitation group received specialized rehabilitation treatment while the control group received self-rehabilitation. QOL we evaluated with the short form-36 （SF-36） instrument before and after. Results Before treatment, QOL scores in the both groups were much lower than the norms for healthy people. The differences on each dimension of the SF-36 were not statistically significant between the two groups. The SF-36 scores of both groups improved during the experiment, but after 1 month and 6 months the improvement on each SF-36 dimension was significantly better in the rehabilitation group than in the control group. Conclusions The QOL of patients with acute stroke is significantly impaired, but specialized rehabilitation treatment is effective in improving it.