自我康复模式在脑卒中偏瘫患者恢复期应用的疗效观察

Observation of the effect of the self rehabilitation pattern in restoration stage of stroke patients with hemiplegia

目的:观察以康复教育与运动再学习方案结合的自我康复模式在脑卒中偏瘫恢复期的疗效。方法:收集60例合格脑卒中恢复期患者,分为治疗组与对照组,治疗组30例采用自我康复模式,与对照组30例住院或门诊康复治疗作对照,采用Fugl-Meyer运动功能评定法和功能独立性测评表(FIM评定法)作为疗效观察的临床指标。结果:两组疗效差异无统计学意义(P>0.05)。结论:应用自我康复模式基本能满足脑卒中患者居家康复需求,降低对专业医疗护理的依赖性,节约卫生资源,取得较好的疗效。

Objective:To observe the effect of the self rehabilitation pattern of rehabilitation education and motor relearning programme in restoration stage of stroke patients with hemiplegia.Methods:60 cases in restoration stage of stroke were selected.They were divided into the treatment group and the control group with 30 cases in each.The treatment group were treated with self rehabilitation model.The control group were treated with inpatient or outpatient rehabilitation.Using Fugl-Meyer motor function assessment and functional independence measurement(FIM score) as the clinical indicators of outcome.Results:There was no significant difference between the treatment group and the control group(P>0.05).Conclusion:The application of self rehabilitation model can basically meet the home rehabilitation needs of cerebral stroke patients.It also can reduce the dependence of professional medical care,save health resources,and obtain better curative effect.