床旁作业治疗早期介入配合常规康复治疗对脑卒中患者床-椅转移能力重建的影响

Effect of Early Bedside Occupational Therapy Combined with Routine Rehabilitation on Reconstitution of Bed-chair Transfer in Acute Stroke Patients

目的:探讨床旁作业治疗早期介入配合常规康复治疗对脑卒中急性期患者床-椅转移能力重建的影响。方法:将60例发病21 d内脑卒中患者按照随机数字表法分为试验组和对照组,每组各30例。2组均给予常规物理治疗及针灸治疗,试验组在此基础上接受早期床旁作业治疗,每天1次,每周5次,连续治疗2周。治疗前后采用Berg平衡量表(BBS)、Fugl-Meyer平衡功能评定(FIM)、Rivermead运动指数(RMI)及改良Barthel指数(MBI)量表评估2组患者的床-椅转移能力。结果 :治疗2周后,2组MBI转移功能评分、BBS、FIM、RMI评分较治疗前明显升高(P<0.05),且试验组各项评分升高的幅度明显大于对照组(P<0.05)。结论:常规康复治疗可促进脑卒中急性期患者床-椅转移功能重建,结合床旁作业治疗后,患者的床-椅转移能力重建效果更好。

Objective：To investigate early bedside occupational therapy combined with routine rehabilitation on the reconstitution of bed-chair transfer in acute stroke patients. Methods：60 stroke patients within 21 days were randomly assigned to the experimental group and control group with 30 patients in each group. Control group received routine physical therapy and acupuncture therapy, experimental group received bedside occupational therapy in addition to the physical therapy and acupuncture therapy for two weeks,once a day, five times a week. Bed-chair transfer function of two groups before and after treatment was evaluated by the modified Barthel index（MBI）, Berg balance scale（BBS）, balance subscale of the Fugl-Meyer（FIM） and rivermead mobility index（RMI）.Results：After two weeks, the MBI transfer function score, BBS score, FIM score and RMI score in the two groups were increased significantly than before treatment（P〈0.05）, and more increase was observed in experimental group than those in control group（P〈0.05）. Conclusion：Conventional rehabilitation therapy can facilitate the reconstruction of bed-chair transfer function in patients with acute stroke, and conventional rehabilitation therapy combined with bedside occupational therapy has better therapeutic effect on the disease.