老年缺血性脑卒中康复治疗的时机探讨

When to start rehabilitation treatment in old patients with ischemic stroke

目的探讨老年缺血性脑卒中患者康复治疗开始的时机对患者预后的影响。方法选取75例发病情况,治疗情况及一般情况非常相似的老年脑梗死患者,将其分为A组38例(1～3d内康复干预组)和B组37例(7～14d内康复干预组),对其进行康复干预,并对6个月后患者康复情况进行评估。结果 A组肢体恢复预后良好29例,预后不良9例;B组预后良好20例,预后不良17例,两组比较差异具有统计学意义(P<0.05)。而在语言功能方面A组预后良好22例,B组预后良好14例,两组比较虽然差异无统计学意义(P=0.1267),但是A组仍明显优于B组。结论早期康复干预可以在一定程度上提高老年患者的生存质量。

Objective To study correlation between prognosis of patients with ischemic stroke and occasion of rehabilitation treatment to intervention. Methods To selected 75 cases of patients with ischemic stroke who had similar incidence, treatment and generally and was divided into group A （1-3 days of rehabilitation intervention group） and group B（7-14 days of rehabilitation intervention group）, the rehabilitation intervention and follow-up care lasted for 6 months. Results In group A 29 cases had good recovery prognosis, poor prognosis were 9 cases, in group B, the number of good prognosis was 20, poor prognosis was 17,two groups with statistical significance （P〈0.05）.While in the functions of language a good prognosis of 22 cases in group A, group B was 14 cases, between two groups, although the difference was not statistically significant （P=0.126 7）, but group A was significantly higher than in group B. Conclusion Early rehabilitation intervention may improve the survival quality of patients.