早期介入康复治疗对于急性脑血管病患者神经功能缺损评分的影响

Effect of Early Intervention Rehabilitation to Neurological Deficit Scores in Patients with Acute Cerebrovascular Disease

目的探讨早期介入康复治疗对于急性脑血管病患者神经功能缺损评分的影响。方法选择2012年1月-2013年1月我院收治的急性脑血管患者72例,采用随机双盲法分为试验组和对照组各36例。对照组给予常规治疗,试验组在常规治疗基础上给予早期康复治疗,治疗35d后比较,两组患者神经功能缺损评分及Barthel指数,并对患者的生活质量进行评定。结果 1）治疗后试验组神经功能缺损评分明显低于治疗前,差异有统计学意义（P〈0.05）;治疗后试验组神经功能缺损评分明显优于对照组,差异有统计学意义（P〈0.05）。2）治疗后试验组Barthel指数明显优于治疗前,差异有统计学意义（P〈0.05）;治疗后试验组Barthel指数明显优于对照组,差异有统计学意义（P〈0.05）。3）试验组的角色功能评分、心理功能评分、躯体功能评分、社会功能评分及GQOL-74总评分均明显高于对照组,差异有统计学意义（P〈0.05）。结论对急性脑血管患者实施早期介入康复治疗,可有效改善患者神经功能,提高患者生活质量,值得临床推广应用。

Objective To investigate the effect of early intervention rehabilitation to neurological deficit scores in patients with acute cerebrovascular disease. Methods Totally 72 cases of patients with acute cerebrovascular disease in our hospital from January 2012 to January 2013 were randomly divided into observation group and control group with 36 cases in each group. Control group was treated by routine therapy,while observation group was added early intervention rehabilitation. Then the neurological deficit scores and BI scores of the two groups were compared,and GQOL-74 was adopted to assess the quality of life of patients after the 35-day theropy. Results 1） Neurological deficit scores of patients in observation group after treatment was significantly lower than that before （P〈0.05）. Neurological deficit scores of patients in observation group after treatment were significantly lower than that before（P〈0. 05）. 2） BI scores of patients in observation group after treatment were better than that in observation group before treatment （P〈0.05）. BI scores of patients in observation group after treatment were better than that in control group （P〈0. 05）. 3） Role function scores, mental function scores, physical function scores,social function scores and GQOL-74 total scores in observation group after nursing intervention were significantly higher than those in control group （P 〈0. 05 ）. Conclusion Treating the patients with acute cerebrovaseular disease by the early intervention rehabilitation can effectively not only improve their neurological function,but also enhance their quality of life. It is worthy of clinical application.