早期系统康复训练对脑卒中偏瘫患者日常生活活动能力的影响

The effect of early systematic rehabilitation training on activities of daily living of post-stroke hemiplegic patients

目的分析早期系统康复训练对脑卒中偏瘫患者日常生活活动能力的影响,为患者康复方案的制定提供临床指导。方法选择100例脑卒中偏瘫患者,按照康复训练方式的差异分为观察组与对照组,每组50例。观察组采取早期系统康复训练方式,对照组采取常规康复训练方式。对比两组患者的Barthel指数、对康复训练的满意度以及不良事件发生情况。结果康复训练前,两组患者Barthel指数对比无差异(P>0.05);康复训练后,观察组患者Barthel指数(78.89±1.46)分显著高于对照组的(42.42±1.79)分,具有显著差异(P<0.05)。观察组患者对康复训练的总满意度98.00%显著高于对照组的80.00%,具有显著差异(P<0.05)。观察组患者不良事件发生率4.00%显著低于对照组的16.00%,具有显著差异(P<0.05)。结论早期系统康复训练对脑卒中偏瘫患者的日常生活活动能力具有明显正向影响,可改善患者由于活动水平低而引发的一系列不良事件,有助于提升患者对康复训练的满意度,可推广。

Objective To analyze the effect of early systematic rehabilitation training on activities of daily living of post-stroke hemiplegic patients,so as to provide clinical guidance for the development of rehabilitation plans for patients.Methods 100 patients with post-stroke hemiplegia were selected and divided into an observation group and a control group based on differences in rehabilitation training methods,with 50 cases in each group.The observation group received early systematic rehabilitation training,while the control group received routine rehabilitation training.The Barthel index,satisfaction with rehabilitation training,and incidence of adverse events of the two groups of patients were compared.Results Before rehabilitation training,there was no difference in Barthel index between the two groups(P>0.05).After rehabilitation training,the observation group had significantly higher Barthel index of(78.89±1.46)points than(42.42±1.79)points in the control group,and there was a significant difference between the two groups(P<0.05).The total satisfaction with rehabilitation training in the observation group was 98.00%,which was significantly higher than 80.00%in the control group,and there was a significant difference between the two groups(P<0.05).The incidence of adverse events in the observation group was 4.00%,which was significantly lower than 16.00%in the control group(P<0.05).Conclusion Early systematic rehabilitation training has a significant positive impact on the activities of daily living of post-stroke hemiplegic patients,which can improve a series of adverse reactions caused by low activity levels,and help to improve patients'satisfaction with rehabilitation training.It can be promoted.