缺血性脑卒中患者后期康复治疗效果剖析.docVIP

缺血性脑卒中患者后期康复治疗效果剖析 　　【摘要】 目的：对缺血性脑卒中患者后期的康复治疗效果进行分析，探讨针对脑卒中后期更有效的治疗方法。方法：选择60例缺血性脑卒中患者，随机分为康复治疗组（n=30）和对照组（n=30），康复治疗组在常规内科药物治疗的基础上采用运动再学习和Bobath方法对患者进行康复训练；对照组采用常规内科药物治疗。根据Fugl-Meger运动功能评分法（FMA）和Barthel指数测评法对治疗前后的疗效进行评定，并进行统计学分析。结果：康复治疗组与对照组患者在治疗前FMA和ADL评分比较差异无统计学意义（P0.05），治疗30 d后与入组时比较两组均有显著改善（P0.05）；治疗30 d后以及60 d随访时康复治疗组的FMA和ADL评分均明显高于对照组（P0.05）。结论：缺血性脑卒中患者后期通过康复治疗，运动功能及日常生活能力有较大改善，缺血性脑卒中患者后期应积极进行康复治疗，提高运动功能，改善生活质量。 　　【关键词】 缺血性脑卒中； 康复治疗； Barthel指数； Fugl-Meger运动功能评分； ADL评分 　　中图分类号 R743.3 文献标识码 B 文章编号 1674-6805（2014）12-0017-02 　　Analyses of Rehabilitation Therapeutic Effect on Ischemic Stroke Patients in Anaphase/ZHENG Yu-fei.//Chinese and Foreign Medical Research，2014，12（12）：17-18 　　【Abstract】 Objective：To analyze the effect of the rehabilitation therapeutic on ischemic stroke patients in anaphase and investigate the effective therapeutic schemes to patients with ischemic stroke.Method：60 cases of ischemic stroke patients were randomly divided into therapeutic group（n=30） and control group（n=30）.According to Bobath and motor relearning method，therapeutic group received rehabilitation training and regular medicine therapy.The control group was treated only with regular medicine.Therapeutic effect before and after therapy were accessed with Fugl-Meger assertion （FMA） and Barthel index evaluation method.Result：The FMA and activities of daily living scores（ADL） scores of two groups were no significant difference before therapy，but significantly improved after treatment for 30 days（P0.05）.The FMA and ADL of rehabilitation therapeutic group were significantly higher than control group after treatment for 30 days and when follow-up after 60 days.Conclusion：Rehabilitation therapeutic can improved ischemic stroke patients exercise capacity and activities of daily living.The ischemic stroke patients in anaphase should actively accept rehabilitation therapy to improve the exercise capacity and life quality. 　　【Key words】 Ischemic stroke； Rehabilitation therapy； Barthe