社区康复治疗在提高脑卒中后遗症患者日常生活能力及其生活质量中的作用

The Effect Study of Community-based Rehabilitation in Improving the Daily Living Ability and Quality of Life of Patients with Stroke Sequelae

目的:探讨社区康复治疗对脑卒中后遗症患者日常生活能力及其生活质量的作用。方法:选择50例脑卒中后遗症患者进行研究,按随机抽取的方式分为对照组和研究组,每组各25例。两组患者均采取常规的内科治疗,但研究组患者在此基础上给予规范的社区康复治疗。观察两组患者治疗前(V1)、治疗2个月末(V2)、治疗5个月末(V3)的Barthel指数,治疗前和治疗后6个月的FMA和ADL评分大小,治疗后两组患者NIM各项评分差值以及MBI各项评分差值。结果:治疗前两组患者Barthel评分指数比较差异无统计学意义(P>0.05),治疗2、5个月后两组患者Barthel评分指数比较,差异均有统计学意义(P<0.01)。两组患者治疗前的FMA评分和ADL评分比较差异均无统计学意义(P>0.05),治疗后FMA评分和ADL评分比较差异均有统计学意义(P<0.05)。两组患者NIM和MBI各项评分治疗前后差值比较差异均有统计学意义(P<0.05),其中在手运动、步行能力、下肢运动、床椅转移、穿衣能力、上楼梯等方面提高较显著。结论:社区康复治疗可以提高脑卒中后遗症患者日常生活能力,改善其生活质量,减少了患者生活中的疼痛和麻烦,值得在临床广泛应用。

Objective： To study the effect of community rehabilitation therapy on daily living ability and quality of life of patients with stroke sequelae.Method：50 patients with stroke sequelae were selected. They were randomly divided into control group and study group, 25 cases in each group. The patients in both groups were treated with routine medical treatment, but the study group was given standard community rehabilitation. The Barthel index before treatment（V1）,after treatment 2 months（V2） and 5 months（V3） of two groups were compared. The FMA and ADL scores before treatment and after treatment 6 months of two groups were observed. After treatment,the NIM score difference and MBI score difference of two groups were compared. Result： There was not significant difference in the Barthel index between the two groups（P〉0.05）.There were significant differences in Barthel index of two groups after treatment two and five months（P〈0.01）.There were not significant differences in FMA score or ADL score of two groups before treatment（P〉0.05）.There were significantdifferences in FMA score and ADL score of two groups after treatment（P〈0.05）.The differences of NIM and MBI scores between the two groups after treatment were statistically significant（P〈0.05）.Which in the hand movement, walking ability, lower limb movement, bed chair transfer, dressing ability, on the stairs and so on to improve the more significant. Conclusion： Community rehabilitation therapy can improve the life quality of patients with stroke sequelae, improve their quality of life and reduce the pain and trouble in patients’ lives. It is worth to be widely used in clinical practice.