规范社区康复治疗对脑卒中患者运动功能、日常活动能力及脑血管储备功能的影响

Effect of standardized community rehabilitation therapy on motor function,daily activity and cerebrovascular reserve function of stroke patients

目的:分析规范社区康复治疗对脑卒中患者运动功能、日常活动能力及脑血管储备功能的影响。方法:2018年1月-2020年9月收治脑卒中患者280例,按不同治疗方法分为两组,各140例。对照组采取常规治疗;研究组采取规范社区康复治疗。比较两组患者运动功能、日常活动能力及脑血管储备功能。结果:研究组生活自理能力(Barthel指数)、运动功能(FMA)评分均高于对照组,差异有统计学意义(P<0.05);研究组治疗后屏气指数(BHI)、搏动指数(PI)、平均血流速度(MFV)水平均高于对照组,脑血管反应性(CVR)水平低于对照组,差异有统计学意义(P<0.05)。结论:脑卒中患者采取规范社区康复治疗,能够有效提高患者运动功能以及日常活动能力,改善脑血管储备功能,临床应用效果显著。

Objective:To explore the effect of standardized community rehabilitation therapy on motor function,daily activity and cerebrovascular reserve function of stroke patients.Methods:From January 2018 to September 2020,280 stroke patients were selected and divided into two groups according to different treatment methods with 140 cases in each group.The control group received conventional treatment.The study group received standardized community rehabilitation treatment.We compared the motor function,activities of daily living and cerebrovascular reserve function between the two groups.Results:In the study group,Barthel Index and FMA scores were higher than those in the control group,the difference was statistically significant(P<0.05).In the study group,after treatment,the levels of BHI,PI and MFV were higher than those in the control group,while the level of CVR was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:Standardized community rehabilitation treatment for stroke patients can effectively improve the motor function and daily activity ability of patients,improve the cerebrovascular reserve function,and the clinical application effect is significant.