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目的探讨影响脑卒中患者日常生活活动能力康复效果的多种因素。方法 60例脑卒中患者分层后随机分为国产仪器组、进口仪器组及对照组3组,每组各20例,3组都接受常规康复治疗,国产组加用国产低频电刺激治疗仪,进口组加用进口低频电刺激治疗仪。在疗程开始与结束时,采用改良的Barthel指数(MBI)评定日常生活活动能力(ADL)。应用多元线性回归方法进行统计学分析。结果康复治疗后,3组患者的ADL评分均有增加,且均有极显著统计学意义(P<0.01)。多元线性回归分析表明在各因素中,只有分组情况、治疗前ADL评分和年龄对ADL预后具有统计学意义(P<0.05)。结论康复治疗能提高患者的ADL。在同样组别和同样年龄的情况下,治疗前ADL的分值越高疗效越好;在同样组别和治疗前ADL情况下,年龄越低则ADL预后越好。
Objective To explore the factors that affect the rehabilitation effect of activities of daily living in patients with stroke. Methods Sixty stroke patients were randomly divided into three groups: domestic instrument group, imported instrument group and control group, with 20 cases in each group. All of the three groups received routine rehabilitation treatment. The domestic group received domestic low-frequency electrical stimulation treatment instrument, Import group plus imports of low-frequency electrical stimulation treatment. At the beginning and at the end of the course of treatment, daily living activity (ADL) was assessed using the modified Barthel Index (MBI). Multiple linear regression methods were used for statistical analysis. Results After rehabilitation, the ADL scores of the three groups increased, and both had statistically significant (P <0.01). Multivariate linear regression analysis showed that among the factors, only the grouping, pre-treatment ADL score and age had statistically significant prognosis (P <0.05). Conclusion Rehabilitation can improve patients’ ADL. In the same group and at the same age, the higher the score of pre-treatment ADL, the better the effect; in the same group and pre-treatment ADL, the lower the age, the better the prognosis of ADL.