个体化康复治疗在住院脑卒中偏瘫患者康复中的临床效果分析

Clinical Effect of Individualized Rehabilitation Therapy in Hospitalized Stroke Patients with Hemiplegia

目的探讨对住院脑卒中偏瘫患者给予个体化康复治疗后获得的康复效果。方法选取2022年5月—2023年5月松原吉林油田医院收治的80例住院脑卒中偏瘫患者作为研究对象,根据投掷硬币法分为参照组(40例,采用常规治疗)和研究组(40例,采用个体化康复治疗)。比较两组患者的主观生活质量评分、客观生活质量评分、日常生活活动(Activity of Daily Living,ADL)评分、平衡功能评定表(Fugl-meyer平衡量表)评分。结果治疗前,两组患者的主观生活质量评分、客观生活质量评分、ADL评分、Fugl-meyer平衡量表评分比较,差异无统计学意义(P均>0.05);治疗后,研究组患者的主观生活质量评分(26.13±3.02)分、客观生活质量评分(5.79±1.02)分、ADL评分(68.13±5.22)分、Fugl-meyer平衡量表评分(6.59±1.25)分高于参照组的(20.05±3.35)分、(4.66±1.13)分、(55.25±8.12)分、(4.02±0.25)分,差异有统计学意义(t=8.525,4.694,8.438,12.750,P均<0.05)。结论对住院脑卒中偏瘫患者给予个体化康复治疗,可有效改善患者的生活质量、生活能力以及平衡功能。

Objective To explore the rehabilitation effect of individual rehabilitation therapy for hemiplegia patients with stroke in hospital.Methods A total of 80 hemiplegia patients with stroke in hospital admitted to Songyuan Jilin Oilfield Hospital from May 2022 to May 2023 were selected as the research objects.They were divided into a control group(40 cases,treated with conventional therapy)and a study group(40 cases,treated with individualized rehabilita⁃tion)according to the coin toss method.The subjective quality of life score,objective quality of life score,Activity of Daily Living(ADL)score,and balance function rating scale(Fugl-meyer Balance Scale)score between two groups of patients were compared.Results Before treatment,there was no statistically significant difference in subjective quality of life score,objective quality of life score,ADL score and Fugl-Meyer Balance Scale score between the two groups of patients(all P>0.05).After treatment,the subjective quality of life score(26.13±3.02)points,objective quality of life score(5.79±1.02)points,ADL score(68.13±5.22)points,Fugl-Meyer Balance Scale score(6.59±1.25)points of pa⁃tients in the study group were higher than(20.05±3.35)points,(4.66±1.13)points,(55.25±8.12)points,(4.02±0.25)points of the control group,and the differences were statistically significant(t=8.525,4.694,8.438,12.750,all P<0.05).Conclusion Individualized rehabilitation therapy for hospitalized stroke patients with hemiplegia can effectively improve the patients'quality of life,life ability and balance function.