综合康复训练对脑卒中患者恢复期认知功能、运动功能及日常生活活动能力的影响

Effect of comprehensive rehabilitation training on cognitive function,motor function and activities of daily living in stroke patients during convalescence

目的探讨分析综合康复训练治疗对脑卒中患者恢复期认知功能、运动功能及日常生活活动能力的影响。方法选取2016年1月—2017年12月本院康复医学科和神经内科收治的80例脑卒中恢复期患者,随机分为观察组和对照组,观察组给予综合康复训练,对照组仅给予神经内科常规治疗,分别对治疗前,治疗后4周、8周患者采用简易精神状态检查量表(mini-mental stare examination,MMSE)评价认知功能,采用Fugl-Meyer运动功能评定量表(FuglMeyer assessment,FMA)评价运动功能,采用改良Barthel指数(Barthel Index,BI)评价日常生活活动能力。结果治疗前两组患者MMSE、FMA、BI评分差异无统计学意义(P> 0. 05);治疗后4周、8周观察组患者MMSE、FMA、BI评分显著高于对照组患者,差异均具有统计学意义(P <0. 05)。结论综合康复训练治疗能有效促进脑卒中患者恢复期认知功能、运动功能和日常生活活动能力的改善,而且对于恢复期脑卒中患者,随着康复治疗疗程越长,患者获益越大,建议在临床上推广。

Objective: To explore the effect of comprehensive rehabilitation training on the recovery of cognitive function,motor function and activities of daily living in patients with stroke. Methods: Eighty patients with convalescent stroke admitted to our hospital from January 2016 to December 2017 were selected and divided into observation group and control group randomly. The observation group was given comprehensive rehabilitation training,and the control group was given only routine treatment of neurology. The cognitive function was evaluated by the Mini-Mental Stare Examination( MMSE) before and 4 and8 weeks after treatment,and the Fugl-Meyer assessment was used for evaluation of motor function. The activities of daily living were evaluated,using the improved Barthel Index( BI). Results: There was no significant difference in MMSE,FMA and BI scores between the two groups before treatment( P > 0. 05). The MMSE,FMA and BI scores in the observation group were significantly higher than those in the control group at 4 and 8 weeks after treatment. The differences were statistically significant( P < 0. 05). Conclusion: Comprehensive rehabilitation training can effectively improve the recovery of cognitive function,motor function and activities of daily living in patients with stroke,and for recovery stroke patients,the longer the course of rehabilitation treatment is,the greater the benefits to patients are. It can be recommended to be promoted clinically.