康复治疗对2型糖尿病并发脑卒中患者日常生活自理能力改善作用观察

Effect of rehabilitation on ADL scores in patients with type 2 diabetes complicated with cerebral stroke

目的探讨康复治疗对2型糖尿病并发脑卒中患者日常生活自理能力（ADL）评分的改善情况。方法选择2型糖尿病并发脑卒中患者320例，根据入选先后顺序以阿拉伯数字1、2、3等编号，把奇数组分为观察组，偶数组分为对照组，每组160例。对照组只进行相应临床治疗，观察组除进行同样的临床治疗外，同时进行康复训练，3个月后比较两组的ADL评分改变情况。结果观察组ADL评分高于治疗前，差异有统计学意义（t=-24．95，P=0．000，P〈0．05）；治疗后对照组ADL评分也高于治疗前，差异有统计学意义（t=-15．52，P=0．000，P〈0．05）。而观察组和对照组，ADL评分（40—60分及〉60分）比较，差异有统计学意义（t=24．24，P=0．000，P〈0．05）。结论2型糖尿病并发脑卒中患者早期进行积极康复训练，可显著提高患侧肢体功能，提高ADL评分，提高生活质量。

Objective To observe the effect of rehabilitation on ADL scores in patients with type 2 diabetes complicated with cerebral stroke. Methods According to the selected order,three hundred and twenty type 2 diabetes patients complicated with cerebral stroke were numbered in Arabic numbers 1,2,3 and so on ,the odd number patients were randomly enrolled into the observation group, the even number patients were assigned into the control group. The control group was only given corresponding clinical treatments. In addition to the same clinical treatments, rehabilitation training was given to the observation group at the same time. The ADL scores, change between the two groups were compared after three months. Results After treatment, the ADL score of the observation group was significantly improved, the difference was statistically significant （ t = - 24.9,P = 0.000, P 〈 0.05 ）. The ADL score of the control group was also improved, and the difference was statistically significant （ t = - 15.52, P = 0. 000, P 〈 0.05 ）. The ADL score between the observation group and the control group had statistically significant difference （ t = 24.24, P = 0. 000,P 〈 0.05 ）. Conclusion Type 2 diabetes patients complicated with cerebral stroke who are early given rehabilitation training actively, car significantly improve the function of hemiplegia limbs, improve the ADL scores and the quality of life.