三级康复网络模式对脑卒中患者预后的影响

Effect of three-level rehabilitation network mode on prognosis of stroke patients

目的:探讨三级康复网络模式对脑卒中患者预后的影响。方法:选取30例有康复治疗需求及其指征的脑卒中患者为观察组,在三级康复网络模式下进行治疗;另选取30例脑卒中患者作为对照组,在传统医疗服务模式下进行治疗。比较两组患者在治疗前后的中国版脑卒中简明《国际功能、残疾和健康分类》(International Classification of Functioning,Disability and Health,ICF)核心要素量表(以下简称为“简明ICF量表”)评分、改良的Barthel指数(modified Barthel index,MBI)和中国脑卒中临床神经功能缺损程度量表(Chinese stroke clinical neurological deficit scale,CSCNDS)评分的变化情况。结果:两组患者治疗前的一般资料和简明ICF量表评分、MBI、CSCNDS评分差异均无统计学意义。与对照组患者相比,观察组患者在治疗6周和3.5个月后的简明ICF量表评分、CSCNDS评分均显著更低,MBI显著更高(P均<0.05)。结论:三级康复网络模式可改善脑卒中患者的预后,包括促进患者康复、减轻病残程度、提高生活质量。

Objective:To investigate the effect of three-level rehabilitation network mode on the prognosis of stroke patients.Methods:Thirty stroke patients with rehabilitation needs and rehabilitation indications were selected as an observation group and treated under three-level rehabilitation network mode and another 30 stroke patients were selected as a control group and treated under the traditional medical service mode.Scores of Chinese stroke concise International Classification of Functioning,Disability and Health(ICF)core elements scale(concise ICF scale),modified Barthel index(MBI),and Chinese stroke clinical neurological deficit scale(CSCNDS)were compared between the two groups before and after treatment.Results:There were no statistically significant differences between the two groups in general data,concise ICF scale scores,MBI and CSCNDS scores before treatment.The scores of concise ICF scale and CSCNDS were significantly lower while MBI were significantly higher in the observation group at 6 weeks and 3.5 months after treatment compared with the control group(P<0.05).Conclusion:The prognosis of stroke patients including the promotion of rehabilitation,the reduction of the degree of disability and the improvement of the quality of life can be improved under three-level rehabilitation network mode.