传统泰式按摩、草药和物理疗法对脑卒中患者的康复治疗作用(英文)

Rehabilitation of stroke patients using traditional Thai massage,herbal treatments and physical therapies

目的:研究包含传统泰式按摩、草药以及物理疗法的康复治疗方案是否能够改善脑卒中患者的日常活动能力、情绪、睡眠质量以及疼痛程度。方法:本研究的设计为前瞻性队列研究,研究周期为3个月。患者来自泰国北部一家有42张床位的康复中心,该中心主要针对脑卒中、头部创伤和脊柱病患者进行康复治疗。结果:本研究共纳入脑卒中患者62人,55%为男性。患者平均年龄59岁,其中63%为已婚,首次卒中时间平均为15个月。在基线水平,巴氏量表平均指数为50.7,情绪、疼痛及睡眠平均指数分别为2.6、3.1、3.2。在进行年龄、性别和首次卒中时间的纵向模型评估1个月后,巴氏量表指数、情绪、疼痛和睡眠指数均显著提高,分别上升了6.1、0.7、0.5、0.5分(均P<0.01);3个月后,各指数分别提高了14.2、0.9、0.5、0.6分(均P<0.01)。结论:该康复治疗方案能明显改善患者的日常生活、情绪、睡眠质量以及疼痛程度。我们还需要进一步比较接受该康复治疗方案和接受常规康复治疗方案的患者来支持这一结论。

OBJECTIVE：To determine quantitatively if a unique rehabilitation program using traditional Thai massage,herbal treatments and physical therapies could improve activities of daily living, mood and sleep patterns,and pain intensity of stroke patients over time. METHODS：This was a prospective cohort study,conducted over a three-month period. Patients were recruited from a 42-bed rehabilitation centre in Northern Thailand,which admits mainly stroke,head injury and spinal patients for rehabilitation. RESULTS：There were 62 patients enrolled in the study,with 55%being male.The average age of patients was 59 years and 63%were married.The average time since the initial stroke was 15 months.At baseline,the average Barthel Index score was 50.7,and the average emotion,pain and sleep scores were 2.6,3.1,and3.2,respectively.After adjusting for age, gender and time since initial stroke in the longitudinal model,the Barthel Index significantly improved by 6.1 points after one month（P0.01）and by 14.2 points after three months（P 0.01）;emotion significantly improved by 0.7 points after one month（P0.01）and by 0.9 points after three months（P0.01）;pain significantly improved by 0.5 points after one month （P0.01）and by 0.5 points after three months（P0.01）;sleep significantly improved by 0.5 points after one month（P0.01）and by 0.6 points after three months（P0.01）. CONCLUSION：This unique stroke rehabilitation program has produced significant improvements in activities of daily living,mood,pain and sleep patterns of stroke patients.These findings warrant the need for further research to compare patients undergoing this program of rehabilitation with patients undergoing more conventional rehabilitation programs.