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目的通过综合痉挛量表(Compopsites pasticity scale,CSS)评定神经功能缺损程度、改良Barthel指数量表(Barthel Index,BI)评定日常生活活动能力(Activitities of daily living,ADL),判断脑卒中后遗症期患者社区康复治疗的疗效。方法采用CSS与改良BI量表评定31例脑卒中后遗症期患者在社区康复个体化治疗原则下治疗前、治疗后30d及第3个月后神经功能缺损程度及ADL。结果脑卒中后遗症期患者社区康复治疗前CSS与改良BI评分与治疗30d、3月后CSS与BI评分对比差异均有统计学意义(均P<0.01);社区康复治疗前、治疗后30d、3月CSS与改良BI之间均呈负相关性(P<0.01),CSS评分越低,改良BI评分越高。结论社区康复治疗可改善脑卒中后遗症期患者的神经功能缺损程度及ADL功能。
Objective To assess the degree of neurological deficits by Compopsites pasticity scale (CSS) and to evaluate the Barthel Index (BI) for evaluating the activity of daily living (ADL) Therapeutic effect of community rehabilitation. Methods The CSS and modified BI scale were used to assess the degree of neurological deficits and ADL in 31 patients with stroke sequelae before treatment, 30 days and 3 months after treatment according to the principle of individualized community rehabilitation. Results The score of CSS and modified BI before community rehabilitation and the score of CSS after 30 and 3 months of treatment were significantly different between CSS and BI scores (all P <0.01). Before community rehabilitation, 30 days and 30 days after treatment There was a negative correlation between monthly CSS and improved BI (P <0.01). The lower the CSS score, the higher the modified BI score. Conclusion Community-based rehabilitation treatment can improve neurological deficit and ADL function in patients with sequelae of stroke.