脑卒中后遗症123例社区康复治疗的临床体会

Clinical experience of 123 patients with stroke sequelae in the treatment of community-based rehabilitation

目的探讨社区康复治疗对脑卒中后遗症患者的临床疗效。方法选取本院2010年6月～2012年6月收治的脑卒中后遗症患者123例进行回顾性分析,在常规治疗的基础上开展社区康复治疗,主要包括在社区卫生服务中心的住院治疗和在家中的康复治疗(如肢体功能锻炼、手指的伸屈功能、痉挛肌治疗,以及红外线治疗等),观察并统计该法的临床疗效。结果统计得知,治愈2例(年龄较轻),显效67例,有效46例,无效8例,总有效率为93.50%,并且年龄和发病时间等对疗效有一定的影响。结论社区康复治疗可明显改善脑卒中患者后遗症症状,及时给予治疗可有效提高临床效果,值得在临床上推广使用。

Objective To explore the clinical efficacy of community rehabilitation in patients with stroke sequelae. Methods One hundred and twenty-three patients of stroke sequelae in our hospital from June 2010 to June 2012 were retrospectively analyzed. Developed the community rehabilitation on the basis of conventional treatment which was in- eluding hospitalization in community health service centers and home rehabilitation （such as exercise of limb function- al, functions of finger＇s flexion and extension, the spastic muscle therapy, as well as infrared treatment, etc.）. The clin- ical efficacy of the method was observed and statisticsed. Results Statistics informed that two cases were cured （younger）, 67 cases were marked, 46 cases were effectived and 8 cases were invalided. The total effective rate was 93.50% and the age and time of onset had a certain impact on the efficacy. Conclusion Community-based rehabilita- tion therapy can significantly improve the symptoms of patients with stroke sequelae. Then timely treatment can effec- tively improve the clinical effect which is worth to use in clinical practice.