中风病的规范化期中西医结合康复治疗方案的临床研究.pdfVIP

目 录 中文摘要 ···················································1 英文摘要 ···················································3 引 言 ····················································6 正 文 ····················································7 1.临床资料 ················································7 1.1 观察对象 ·················································7 1.2 一般资料 ·················································7 1.3 评定指标 ···············································10 1.4 治疗方法 ···············································11 1.5 研究步骤 ···············································13 2.结果 ···················································13 3.讨论 ····················································20 4.存在的问题及展望 ·····································24 结 论 ··················································26 参考文献 ··················································27 附 件 29 综 述 ··················································37 致 谢 ··················································43 攻读学位期间发表的学术论文 目录 ·······················44 作者声明 ··················································45 个人简历 ··················································46 中 文 摘 要 目 的：建立规范化三期中西医结合综合康复治疗方案并提供循证医 学研究依据。 方 法：本研究采用按脑出血与脑梗塞进行疾病分层后随机分组，将 80 名符合条件的患者随机分成2 组，即普通康复组（40 名），规范化中 西医结合康复组（40 名）。患者在接受神经内科常规治疗的同时，当其 生命体征稳定后 1 周内立即开展急性期床边康复治疗（第 1 期），以物 理疗法为主。发病后2 ～3 个月为第2 期，4 ～6 个月为第3 期。分别进行 神经功能缺损评分，日常生活活动能力（ADL ）评分，牛津残障评分（OHS)， 汉语失语检查 （ABC 法），汉密顿抑郁量表测定 （HAMD ），Wechsler 成 人智力量表手册(WAIS RC)测定，生存质量评定 （WHOQOL-BRE ）。通过 6 个月的评测与比较, 运用 SPSS13.0 软件将以上资料进行统计学处理，探 讨规范化三期中西医结合综合康复治疗在改善偏瘫患者的综合功能，认 知能力，抑郁程度，改善生存质量方面的影响及意义。 结 果：建立了规范化三期中西医结合综合康复治疗方案。两组病人1 个月、3个月、6个月比较神经功能缺损评分减少、日常生活活动能力提 高、残障率降低、言语障碍减低、精神稳定、智能正常、生存质量提高， 差异有显著性意义（p ＜0.05 ）；其中中西医结合综合康复组神经功能缺 损评分, 日常生活活动能力评分，牛津残障评分，汉语失语检查，汉密顿 抑郁量表测定，Wechsler成人智力