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目的观察卒中单元对脑卒中患者运动及日常生活能力的影响,及对改善其生存质量的作用。方法 200例脑卒中患者分为2组,其性别、年龄、病情、病程等基线资料均衡。对照组80例行常规药物治疗和护理;卒中单元组120例除常规治疗和护理外同时配合运动疗法、语言训练、心理康复及健康教育。治疗前、治疗4周后采用简式Fugl-Meyer运动量表(FMMS)、Barthel指数评定运动功能及日常生活活动能力。结果卒中单元组与对照组比较,治疗前Barthel指数评分〔(35.35±20.16)vs(36.24±18.19)分〕、FMMS评分〔(24.78±21.17)vs(25.42±18.23)分〕均无统计学差异(P均>0.05),治疗后4周Barthel指数评分〔(70.86±29.82)vs(44.05±22.73)分〕、FMMS评分〔(59.23±31.51)vs(43.95±19.26)分〕差异有统计学意义(P均<0.05)。结论卒中单元可明显提高脑卒中患者运动及日常生活能力,改善其生存质量。
Objective To observe the influence of stroke unit on exercise and daily living ability in patients with stroke and its effect on improving the quality of life. Methods 200 stroke patients were divided into two groups, whose gender, age, disease, course of disease and other baseline data were balanced. Control group of 80 patients underwent routine drug treatment and care; stroke unit group of 120 cases in addition to conventional treatment and nursing at the same time with exercise therapy, language training, psychological rehabilitation and health education. Before treatment, after 4 weeks of treatment, the simple Fugl-Meyer exercise scale (FMMS) and Barthel index were used to assess motor function and activities of daily living. Results Compared with the control group, the Barthel Index before treatment (35.35 ± 20.16 vs 36.24 ± 18.19) and the FMMS score 〔(24.78 ± 21.17 vs 25.42 ± 18.23)〕 had no significant difference (P <0.05). The Barthel index score 〔(70.86 ± 29.82) vs (44.05 ± 22.73)〕 4 weeks after treatment, FMMS score 〔(59.23 ± 31.51) vs (43.95 ± 19.26) 分〕 had significant difference (P <0.05). Conclusion Stroke unit can significantly improve the ability of exercise and daily life of stroke patients to improve their quality of life.