论文部分内容阅读
目的观察康复训练对脑卒中患者肢体瘫痪后遗症疗效,以探讨康复训练的治疗意义。方法 72例脑卒中患者采用常规治疗(对照组),83例患者在常规治疗基础上进行康复训练(康复训练组),在康复训练前以及训练1、3个月时对两组患者进行Fugl-Meyer评价法(FMA)进行运动功能评定以及采用改良Barthel指数评分法(MBI)日常生活能力评定,3个月后对患者疗效进行评价,并观察患者并发症发生情况。结果训练1个月和3个月时,两组FMA评分和MBI评分较训练前有明显变化(P<0.05),两组间比较差异有统计学意义(P<0.05)。康复训练组总有效率为84.3%,明显高于对照组(59.7%),两组比较差异有统计学意义(P<0.01);康复训练组废用综合征、误用综合征、肩手综合征并发症的发生率均明显低于对照组(P<0.05)。结论康复训练能够促进恢复期脑卒中患者运动功能的恢复,提高ADL能力,对减少脑卒中引起的残障发生以及提高患者今后的生活质量有着十分重要的意义。
Objective To observe the effect of rehabilitation training on the paralysis sequelae of stroke patients and to explore the therapeutic significance of rehabilitation training. Methods 72 patients with stroke were treated with conventional therapy (control group), 83 patients were rehabilitated (rehabilitative training group) on the basis of routine treatment. Fugl- Meyer’s assessment (FMA) was used to assess motor function and assessment of daily living ability using Modified Barthel Index Score (MBI). The efficacy of the patients was evaluated after 3 months and the complication was observed. Results After training for 1 month and 3 months, the scores of FMA and MBI in both groups had significant changes (P <0.05) before training, and there was significant difference between the two groups (P <0.05). The total effective rate of rehabilitation training group was 84.3%, which was significantly higher than that of the control group (59.7%), the difference was statistically significant (P <0.01). The rehabilitation training group used the syndrome of disuse, misuse syndrome, The incidence of complications were significantly lower than the control group (P <0.05). Conclusion Rehabilitation training can promote recovery of motor function and improve ADL ability in patients with convalescent stroke. It is of great significance to reduce stroke-induced disability and improve the quality of life of patients in the future.