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目的了解脑卒中患者的生存质量(QOL)及其影响因素。方法将80例脑卒中偏瘫患者随机分成康复组(40例)及对照组(40例),2组均常规给予神经内科药物治疗,康复组同时还加用运动疗法、作业疗法及言语治疗等综合治疗措施,2组患者经6个月相应治疗后,采用世界卫生组织生存质量评定量表简表(WHOQOL-BREF)中文版对其QOL进行评定,同时对影响QOL的各种因素进行分析、比较。结果2组患者经治疗后,其QOL均有不同程度的提高,且康复组疗效优于对照组;logestic回归分析表明,影响脑卒中患者QOL的主要因素包括年龄、患病到治疗的时间、职业、早期康复治疗以及婚姻状况等。结论早期康复治疗有利于改善急性脑卒中患者的QOL水平。
Objective To understand the quality of life (QOL) and its influencing factors in stroke patients. Methods Eighty stroke patients with hemiplegia were randomly divided into rehabilitation group (40 cases) and control group (40 cases). The two groups were given routine neurological medicine treatment. The rehabilitation group also combined exercise therapy, homework therapy and speech therapy After treatment for 6 months, the two groups of patients were treated with WHOQOL-BREF Chinese version to assess their QOL. At the same time, various factors affecting QOL were analyzed and compared . Results The QOL of both groups improved to some extent after treatment, and the curative effect of the rehabilitation group was better than that of the control group. The logestic regression analysis showed that the main factors affecting the QOL of stroke patients included age, illness to treatment time, occupation , Early rehabilitation and marital status. Conclusion Early rehabilitation treatment is beneficial to improve QOL in patients with acute stroke.