康复治疗3个月对脑卒中偏瘫患者ADL的影响

Effect of Rehabilitation Treatment for 3 Months on ADL in Hemiplegics After Stroke

目的探讨康复治疗 3个月对脑卒中偏瘫患者 ADL 的影响。方法采用以运动疗法、作业治疗及电疗等综合康复治疗方法对 12 5例脑卒中偏瘫患者进行临床随机对照性研究。结果患者治疗前及治疗 3个月后各评价 1次Barthel指数 ,治疗组分别为 6 .2 2± 4 .2 8、 16 .0 0± 3.79;对照组为 6 .16± 4 .97、 11.6 8± 4 .5 4 ,2组治疗前差异无显著性 (P>0 .0 5 ) ,治疗后 2组均比治疗前有明显改善 (P<0 .0 1) ;2组间比较治疗组 ADL 恢复优于对照组 (P<0 .0 0 1)。结论康复治疗 3个月对脑卒中患者的 ADL 能力有良好的促进作用 ,可明显降低患者的依赖程度 ,提高其生存质量。

Objective To study the effect of rehabilitation treatment for 3 months on ADL in hemiplegics after stroke. Methods 125 patients were randomly divided into two groups: rehabilitation treatment group (72 cases) receiving clinical treatment, electric stimulation therapy (EST) and regularly physical therapy, and control group (53 cases) only receiving clinical treatment and unguided self training. ADL was assessed by Barthel index (BI). The evaluation on BI was done before and 3 months after treatment respectively. Results The BI socres before and 3 months after treatment were 6 22±4 28?16 00±3 79 in the rehabilitation treatment group, and 6 16±4 97 and 11 68±4 54 in the control group, respectively ( P <0 001). The recovery of ADL in the rehabilitation treatment group was obviously superior to that in the control group ( P <0 001). Conclusion Rehabilitation treatment for 3 months could improve the ADL well in the patients with hemiplegics after stroke and the quality of life.