老年患者脑血管病后的治疗与康复情况研究

Treatment and Rehabilitation of the Elderly Patients after Cerebrovascular Diseases

目的：探讨老年患者脑血管病后的治疗与康复情况。方法：依据人院时间先后顺序，将2012年10月一2013年10月期间收治的140例老年脑血管病患者作为对照组，采用单纯治疗法，2013年10月～2014年10月期间收治的100例作为研究组，采用联合单纯治疗与康复治疗疗法，比较两组的治疗疗效、康复程度、生活质量评分及术后并发症。结果：研究组好转率为94．0％，显著高于对照组（86．4％），差异显著（P〈0．05）；两组治疗后FMI、BI评分均显著高于治疗前（P〈0．05），但研究组治疗后FMI、BI评分（77．9±2．4分、80．4±3．5分）显著高于对照组（45．1±2．2分、48．7±2．7分），差异显著（P〈0．05）；研究组神经功能缺损程度（css）、美国卫生院卒中量表得分（NIHSS）、汉密顿焦虑（HAMA）、抑郁得分（HAMD）和疼痛视觉评分均显著低于对照组（P〈0．05），但研究组简易精神状态量表得分（MMSE）高于对照组，差异显著（P〈0．05）；研究组术后并发症发生率为24．0％，显著低于对照组（40．0％），差异具有统计学意义（P〈0．05）。结论：联合单纯治疗与康复治疗治疗老年脑血管病患者，可显著提高治疗疗效，及时有效地提高患者日常生活能力，改善患者治疗后生活质量，并降低患者术后并发症发生率，对于老年脑血管疾病患者的治疗及康复具有重要意义。

OBJECTIVE： To investigate the treatment and rehabilitation of elderly patients after cerebrovascular diseases. METHODS： During the period of 2012. 10 -2013. 10 140 aged patients enrolled with cerebral vascular disease were as control group which received the simple treatment and during the period of 2013. 10 -2014. 10 100 cases were as the study group which acceped a combination of simple treatment and rehabilitation therapy. The curative effects, the rehabilitation degree, quality of life score and postoperative complications of these treatment were compared between the two groups. RESULTS ： In the study group the improvement rate was 94%, which was significantly higher than that in control group （ 86. 4% ）. There was the significant difference （ P 〈 0. 05 ）. In the two groups after treatment FMI and BI scores were significantly higher than those before treatment （P 〈 0. 05 ）. But in the study group after treatment FMI score and BI score [ （77.9 ± 2. 4）, （ 80. 4 ± 3.5 ） ] were significantly higher than those in the control group [ （45.1 ± 2. 2）, （48.7 ± 2. 7 ） points ]. There were the significant difference （ P 〈 0. 05 ）. In research group nerve function defect degree （ CSS）, USA Institutes of Health Stroke Scale Score （ NIHSS）, Hamilton Anxiety （ HAMA）, depression score （HAMD） and visual analog pain scores were significantly lower than those in the control group （P 〈 0. 05 ）. In the study group the mini mental state examination （MMSE） score was higher than that in the control group. There was the significant difference （ P 〈 0. 05 ）. The rate of complications after operation in study group was 24%, which was significantly lower than that in the control group （40%）. There was the significant difference （P 〈 0. 05）. CONCLUSION： The combined treatment of simple treatment and rehabili- tation treatment in the elderly patients with cerebral vascular disease can significantly improve the therapeutic efficacy, timely and ef- fectively improve the daily living ability of the patients, improve the quality of life of patients after treatment, and reduce the incidence of postoperative complications, which has important significance for the treatment and rehabilitation of the elderly patients with cerebro- vascular disease.