社区康复综合干预缺血性脑卒中随机平行对照研究

A Randomized Parallel Control Research on Community-based Rehabilitation Treatment for Treating Cerebral Arterial Thrombosis

[目的]观察社区康复综合干预缺血性脑卒中效果。[方法]使用随机平行对照方法,将78例患者按抽签法随机分为两组。对照组39例常规康复指导,床上翻身、仰卧、俯卧训练,桥式运动,站位、步行、上下楼梯训练等。治疗组39例社区康复管理,生活技能训练、肢体功能训练、心理干预、音乐疗法、培训指导家属等,日常生活能力锻炼,穿衣、个人卫生、饮食、人际交流及保持患肢体位等,提高患者自理能力。连续干预30d为1疗程。观测临床症状、Fugl-Meyer运动功能评分、Barthel指数(日常生活活动功能)、生活质量评分、不良反应。连续干预2疗程(60d),判定疗效。[结果]Fugl-Meyer运动功能评分、日常生活活动功能评分、生活质量评分两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]社区康复综合干预缺血性脑卒中,疗效满意,无严重不良反应,值得推广。

[Object] To observe the curative effect of community-based rehabilitation treatment on cerebral arterial thrombosis. [Method] Randomly divided 78 patients into two groups-control group or treatment group,by draw lots. Applied common rehabilitation direction on 39 patients of control group, which includes turn over on bed, lie on back, lie prostrate, bridging activities, stance, walk, walk up and down stairs practice,etc. The other 39 patients of treatment group undergone the training of living skills training, limbs function training, mental intervention, musicotherapy, activity of daily living, getting dress, refreshing personal hygiene,having meals, interpersonal communication, keep some position of sick limbs, even included the training on their family members, all practices lasted 30 days of 1 treatment course, than recorded clinical symptoms,Fugl-Meyer assessment scale, barthel index（ADL： activity of dairy living）, life quality score, adverse event.2 treatment courses later（60 days）, evaluate the curative effect. [Results] Both groups get improved scores on Fugl-Meyer assessment scale, barthel index, and life quality score（P〈0.01）. The treatment group is better than control group（P〈0.01）. [Conclusion] It is deserved to popularize the community-based rehabilitation treatment on treating cerebral arterial thrombosis for its better curative effect, none adverse event.