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目的:探讨运用联合卒中单元及延伸卒中单元相结合的“一站式”管理,对脑卒中患者运动功能及神经功能恢复的影响。方法:选择2009年1月~2010年1月在我院神经科住院的80例脑卒中患者,在神经系统体征稳定48小时后配合不同的康复训练方法,并且出院后在指定社区康复中心坚持康复训练、接受二级预防宣教、监督的患者即为治疗组。只进行常规神经内科治疗,拒绝接受康复治疗的即为对照组。所有患者于入院当天,康复开始1周时,住院20天时及半年时分别进行ADL(日常生活活动能力)、步行能力评定,并对2组患者进行结果比较。结果:入院后1周、20天、半年2组患者ADL、步行能力评定与入院时比较,差异具有统计学意义(P<0.05);治疗组与对照组相同时间比较差异具有统计学意义(P<0.05)。结论:“一站式”管理能促进脑卒中患者的神经功能及运动功能恢复,其疗效优于单纯应用药物治疗。
Objective: To explore the impact of using “one-stop” management combined with stroke units and extended stroke units on motor function and neurological recovery in patients with stroke. Methods: From January 2009 to January 2010, 80 stroke patients hospitalized in neurology department of our hospital were recruited with different rehabilitation training methods after stable neurological signs for 48 hours. After discharge, they were persevered in the designated community rehabilitation center Training, receiving secondary prevention and education, supervision of patients is the treatment group. Only routine neurological treatment, refused to receive rehabilitation treatment is the control group. All patients were assessed ADL (ADL) and walking ability on the day of admission, 1 week after the start of rehabilitation, 20 days and 6 months after hospitalization, and the results of two groups were compared. Results: There were significant differences in ADL and walking ability between the two groups at 1 week, 20 days and 6 months after admission (P <0.05), and there was significant difference between the treatment group and the control group at the same time (P <0.05). Conclusion: “One-stop ” management can promote the neurological function and recovery of motor function in patients with stroke, and its curative effect is better than that of drug therapy alone.