论文部分内容阅读
目的评估社区家庭康复治疗对脑卒中后肢体残疾后遗症的长期疗效。方法选取2007年7月～9月对辖区内6个街道年满35周岁并在当地居住满5年的常驻人员中的脑卒中患者497例。将其随机分为康复组249例与对照组248例,分别比较入组时、干预1年和2年时的Brummertorm偏瘫功能评定及改良Barthel日常生活活动能力(ADL)评分。结果 Brummertorm分级:康复组与对照组在干预1年时分别为3.00±0.06、2.68±0.47(P<0.01)、干预2年时分别为3.88±0.36、3.03±0.18(P<0.01)。ADL评分:康复组与对照组在干预1年时分别为47.03±9.66、45.17±9.64(P<0.05),干预2年时分别为68.19±9.69、64.54±7.48(P<0.01)。结论全面有效的社区家庭康复训练指导,能有效提高脑卒中偏瘫患者的肢体运动功能,改善患者的生活自理能力,且治疗时间越长,效果越好。
Objective To evaluate the long-term effect of community home rehabilitation on post-stroke limb disability sequelae. Methods A total of 497 stroke patients from July 2007 to September were selected as permanent residents in six districts under their jurisdiction who were 35 years old and lived in the area for five years. The patients were randomly divided into rehabilitation group (249 cases) and control group (248 cases). The functional assessment of Brummertorm’s hemiplegia and the modified Barthel’s daily living activity (ADL) were compared between the two groups. Results The Brummertorm grade was 3.00 ± 0.06,2.68 ± 0.47 (P <0.01) in the rehabilitation group and the control group at 1 year after intervention, respectively, and 3.88 ± 0.36 and 3.03 ± 0.18 respectively at 2 years after intervention (P <0.01). ADL score: 47.03 ± 9.66 and 45.17 ± 9.64 (P <0.05) respectively in rehabilitation group and control group at one year after intervention, and 68.19 ± 9.69 and 64.54 ± 7.48 at two years intervention (P <0.01). Conclusion Comprehensive and effective community home rehabilitation training guidelines can effectively improve limb motor function in stroke patients with hemiplegia and improve patients’ self-care ability, and the longer the treatment, the better the effect.