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目的观察家庭康复训练对出院后脑卒中偏瘫患者肢体功能和日常生活活动(ADL)能力的影响。方法将70例住院的脑卒中患者在出院时随机分成家庭康复训练组和对照组(n=35),出院后家庭康复训练组给予规范康复训练,对照组自行功能训练。分别于出院时、出院后1,2,3个月对2组进行评定,采用脑卒中临床神经功能缺损程度评分标准评定神经功能,采用Barthel指数(BI)评分法评定ADL能力。结果经过3个月家庭康复训练,2组的Barthel指数和脑卒中临床神经功能缺损评分均有一定程度的改善。家庭康复训练组患者的ADL能力明显优于对照组(P<0.01)。结论出院后家庭康复训练可以显著提高脑卒中偏瘫患者的ADL能力,提高患者的生活质量。
Objective To observe the effect of home rehabilitation training on limb function and daily living activity (ADL) in patients with hemiplegia after stroke. Methods 70 hospitalized stroke patients were randomly divided into family rehabilitation training group and control group (n = 35) after discharged from hospital. After discharge, the family rehabilitation training group was given standard rehabilitation training and the control group was self-functional training. Two groups were assessed at discharge, 1, 2, and 3 months after discharge. The neurological function was assessed using the score of clinical neurological deficit in stroke. The Barthel index (BI) was used to assess the ADL ability. Results After 3 months of family rehabilitation training, Barthel index and clinical neurological deficit scores of two groups improved to some extent. ADL ability of family rehabilitation training group was significantly better than that of control group (P <0.01). Conclusion After discharge, family rehabilitation training can significantly improve the ADL ability of stroke patients with hemiplegia and improve the quality of life of patients.