综合康复对重症脑卒中患者残疾功能改善的作用.pdfVIP

• 326 • 实用诊断与治疗杂志2007 年第2 1 卷第5 期 ·论著· 综合康复对重症脑卒申患者残疾功能改善的作用铃 ~ì是生，李伟，且在峰，李英毅，范爱国 E摘要〕 目的3 探讨综合康复对重!1脑卒中患者残疾功能改善的作用.方法3 选择重症脑卒中患者80 例分为康复组 50 例和对照组30 例。 康复组患者入院后生命体征稳定48 h 起I!p给予早期综合康复，病情好转或出院后恢复期继续给于 杜区或家庭综合康复与指导e 对照纽仅给予简单康复与指导.两组分别于l 用肉、1 ， 3， 6. 1 2 个月时用GCS、 NIHSS、 FMA、 ADL 进行阶段量化评分，所得数据采用 SPSSIO. O 软件统计. 直在果:两 组闯 GCS 在 1 个月时总井有统计学意义(p 0. 05 )、 3 个月时NJHSS、 FMA 差异有统计学意义(P0. 01) ， 6 个月时ADL 差异有统计学意义(PO. 05) . 12 个月时 ADL 差异有统计学意义(户0.05) . 结论·综合康复对重症脑半中患者残疾功能改善有着重要作用。 E美.词〕 重症脑卒中;早期Â恢复期s 综合康复z 残疾功能 中图分类号:R743.3 文献栋iR码:A 文章编号:1672输3457(2007)05-326-03 Comprehensîve rehabilîtation on stroke patients with severe functional disabilities improvement DU Yuansheng. LI Wei , LU Feng . et al. Department of Neurology , the Third Hospital of Xing tai. Xingtai 054000. Chi na ( Abslract ) Objectlve 10 discuss the role of comprehensive rehabi litat ion on stroke patients wi th severe functional disabilities improvem ent. Melhods Eighty patients wi t h s evere stroke we re divided into the rehabilita tion group and control group. 1he rehabilitation group received early comprehensive rehabilitat ion group when the vital s igns were stable 48 hours later. 1he commun ity and fami ly comprehensive rehabilitation were provided conti nuously when the conditions of the pat ients we re improved or discharged after recovery. The simple rehabilitation and guidance were given to control group. 1he GCS , NIHSS. FMA. ADL were evaluated in 1 week. 1 , 3 , 6 and 12 month s. The statistica l data we re done with SPSS 10.0 software. Results 丁here was a st atistic difference in GCS in 1 month(P O. 0日. in NIHSS and FMA in 3 mont hs(P O. 0 1), in ADL in 6 3nd 1