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目的探讨脑卒中后遗症期患者综合康复干预的效果。方法选取2016年7~9月乌鲁木齐市养老福利院和乌鲁木齐市一家人养老院脑卒中后遗症期偏瘫患者80例,按随机数字表法分为对照组(40例)和康复组(40例)。对照组只进行日常常规护理,康复组在对照组的基础上进行综合康复干预。两组患者均干预4周。观察干预前后患者的站立坚持时间、偏瘫肢体的运动功能、日常生活活动能力(FIM评分)及生活质量情况。结果干预前,两组站立坚持时间、运动功能评分、FIM评分和生活质量比较,差异无统计学意义(P>0.05);干预后,对照组各项指标与干预前比较,差异无统计学意义(P>0.05);干预后,康复组各项指标均优于干预前,且优于同期对照组,差异有统计学意义(P<0.05)。结论综合康复干预不仅能改善脑卒中后遗症期偏瘫患者的站立坚持时间、运动功能情况和日常生活能力,还能提高患者的生活质量。
Objective To investigate the effect of comprehensive rehabilitation intervention in patients with sequelae of stroke. Methods Eighty patients with hemiplegia during the sequelae of stroke in Urumqi nursing homes and Urumqi nursing home from July to September in 2016 were selected and divided into control group (40 cases) and rehabilitation group (40 cases) by random number table. The control group only routine routine care, rehabilitation group in the control group based on comprehensive rehabilitation intervention. Two groups of patients were intervened for 4 weeks. Before and after intervention, the patients’ stand-up time, motor function of hemiparetic limbs, daily living activity (FIM score) and quality of life were observed. Results Before the intervention, there was no significant difference in standing time, motor function score, FIM score and quality of life between the two groups (P> 0.05); after the intervention, there was no significant difference in all indexes between the two groups (P> 0.05). After intervention, the indexes in rehabilitation group were better than before intervention and better than the control group at the same period (P <0.05). Conclusion Comprehensive rehabilitation intervention can not only improve the standing time, motor function and daily living ability of patients with hemiplegia during the sequela of stroke, but also improve the quality of life of patients.