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目的:观察综合康复治疗对脑卒中后遗症患者日常生活能力的影响。方法:将2013年5月至2015年6月江门市新会区人民医院收治的76例脑卒中后遗症期患者随机分为综合康复组(n=34)和对照组(n=42),治疗前后分别采用Fugl-Meyer运动功能评定量表和改良Barthel指数评定量表评定患者的运动功能和日常生活能力。结果:综合康复组治疗前后Fugl-Meyer运动功能评分比较,差异无统计学意义(P>0.05),但治疗后改良Barthel指数评分较治疗前和对照组治疗后明显提高(P<0.05);对照组治疗前后Fugl-Meyer运动功能评分定和改良Barthel指数评分均无明显变化(P>0.05)。结论:脑卒中后遗症期采取综合康复治疗尽管不能明显改善患者运动功能,但可明显提高患者的日常生活能力,促使患者更好地回归家庭和社会。
Objective: To observe the effect of comprehensive rehabilitation on the daily living ability of patients with stroke sequelae. Methods: Seventy-six patients with stroke sequelae who were admitted to Xinmin District People’s Hospital of Jiangmen City from May 2013 to June 2015 were randomly divided into comprehensive rehabilitation group (n = 34) and control group (n = 42) The motor function and daily living ability of the patients were evaluated by the Fugl-Meyer Motor Function Rating Scale and the Modified Barthel Index Rating Scale respectively. Results: The scores of Fugl-Meyer motor function in comprehensive rehabilitation group before and after treatment were not significantly different (P> 0.05), but the modified Barthel index score was significantly higher after treatment than before treatment and control group (P <0.05) Before and after treatment, the score of Fugl-Meyer motor function and modified Barthel index did not change significantly (P> 0.05). CONCLUSIONS: The comprehensive rehabilitation treatment during the sequelae of stroke does not significantly improve the motor function of patients, but it can significantly improve patients’ ability to daily life and promote better return to the family and society.