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目的观察综合康复疗法对社区脑卒中患者心理及认知功能的影响。方法将276例脑卒中患者随机分为综合康复组、西医康复组及西药组各92例,综合康复组采用一站式社区康复,西医康复组采用机能康复疗法,西药组仅以西药治疗;分别于治疗前及干预中(1个月)和干预后(3个月)采用简易智能量表(MMSE)评分进行认知功能检查,采用汉密尔顿焦虑(SAS)、抑郁(SDS)自评量表评分法进行心理状态测评。结果治疗1个月后各组评分均较治疗前明显改善,其中综合康复组与西医康复组相近,二者的改善均优于西药组;治疗3个月后综合康复组各项指标的改善均优于西医康复组,二者又均优于西药组。结论综合康复疗法、西医康复疗法及西药疗法对社区脑卒中患者的认知功能及心理状态改善均有一定效果,但综合康复疗法的效果明显优于其他疗法,尤其表现在长期疗效方面。
Objective To observe the effect of comprehensive rehabilitation therapy on the psychological and cognitive function of community stroke patients. Methods A total of 276 stroke patients were randomly divided into general rehabilitation group, western medicine rehabilitation group and western medicine group, 92 cases each. The comprehensive rehabilitation group adopted one-stop community rehabilitation. Western rehabilitation group was treated with functional rehabilitation. Western medicine group was treated with western medicine alone. The cognitive function tests were performed before and during the intervention (1 month) and after the intervention (3 months) using the MMSE score. Hamilton anxiety (SAS), depression (SDS) self-rating scale Law to measure the psychological status. Results After 1 month of treatment, the score of each group was significantly improved compared with that before treatment. The comprehensive rehabilitation group and western medicine rehabilitation group were similar, both of which were better than Western medicine group. After 3 months of treatment, the improvement of each index Superior to Western rehabilitation group, both of which are superior to western medicine group. Conclusion The comprehensive rehabilitation therapy, western medicine rehabilitation therapy and western medicine therapy have some effect on the cognitive function and psychological status of stroke patients in community, but the comprehensive rehabilitation therapy is obviously better than other therapies, especially in the aspect of long-term curative effect.