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目的探讨规范三级康复治疗对脑卒中偏瘫患者综合功能的临床疗效。方法选择80例脑卒中患者,男性58例,女性22例;年龄(62.94±8.59)岁。用随机化的方法分为康复组和对照组(对照组中1例脑出血伴发重症胰腺炎患者死亡,1例脑缺血患者进食时窒息死亡),两组均用相同的内科治疗方案,康复组在此基础上增加规范的三级康复治疗技术。两组患者一般资料比较,差异无统计学意义(P>0.05)。两组患者疗效标准采用简化Fugl-Meyer运动功能评定法(FMA)、改良Barthel指数评定法(MBI)和综合功能评定法(FCA)。在入选时(V_0)、发病后1个月末(V_1)、3个月末(V_2)、6个月末(V_3)分别进行评定。所有数据均用((?)±s)表示,采用SPSS 10.0软件进行统计分析,组间比较采用t检验。结果入选时康复组与对照组各项评分差异无统计学意义(P>0.05),康复组经过规范的三级康复治疗后,各阶段(1个月末、3个月末、6个月末)各项评分明显高于对照组,差异有统计学意义(P<0.01),各阶段各项评分的积分差值也明显高于对照组(P<0.01)。结论规范三级康复治疗对脑卒中偏瘫患者各阶段综合功能有显著的临床疗效。
Objective To investigate the clinical effect of standard tertiary rehabilitation on the comprehensive function of stroke patients with hemiplegia. Methods Eighty stroke patients were selected, including 58 males and 22 females, with a mean age of (62.94 ± 8.59) years. The patients in the control group were divided into rehabilitation group and control group (1 in the control group died of cerebral hemorrhage complicated with severe pancreatitis and 1 died of suffocation ingestion of cerebral ischemia). Both groups were treated with the same medical treatment plan, Rehabilitation group on the basis of this increase in the standard three-level rehabilitation therapies. The two groups of patients with general information, the difference was not statistically significant (P> 0.05). Efficacy criteria for both groups were simplified Fugl-Meyer Motor Function Assessment (FMA), Modified Barthel Index (MBI), and Comprehensive Function Assessment (FCA). At the time of selection (V_0), one month after onset (V_1), the end of 3 months (V_2) and the end of 6 months (V_3) were assessed. All data ((?) ± s), using SPSS 10.0 software for statistical analysis, comparison between groups using t test. Results There was no significant difference between the rehabilitation group and the control group (P> 0.05) at the time of enrollment. After the three levels of rehabilitation treatment, the various stages (one month, three months, six months) The score was significantly higher than the control group, the difference was statistically significant (P <0.01), the scores of the various stages of the points difference was significantly higher than the control group (P <0.01). Conclusion Standard three-level rehabilitation treatment of stroke patients with hemiplegia comprehensive function of all stages have a significant clinical effect.