《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (08): 786-787.

• 社区康复 • 上一篇    下一篇

社区康复对后遗症期脑卒中偏瘫患者的影响

罗峰1; 崔明1; 祁奇2   

  1. 1.上海市杨浦区殷行社区卫生服务中心康复科,上海市 200438;2.上海交通大学附属第一人民医院康复科,上海市 200080
  • 收稿日期:2008-03-05 出版日期:2008-08-01 发布日期:2008-08-01

Effect of Community Rehabilitation on Stroke Patients during Convalescence

LUO Feng, CUI Ming, QI Qi   

  1. The Rehabilitation Department of Yinhang Community Hospital, Shanghai 200438, China
  • Received:2008-03-05 Published:2008-08-01 Online:2008-08-01

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摘要： 目的观察社区综合康复治疗对后遗症期脑卒中偏瘫患者的运动功能及日常生活活动(ADL)能力的影响。方法155例后遗症期脑卒中患者随机分为康复干预组(76例)和对照组(79例),分别在入组时和康复干预1个月、3个月时采用简化Fugl-Meyer运动功能量表(FMA)评定肢体运动功能,改良Barthel指数(MBI)、功能综合评定量表(FCA)评定ADL能力。结果两组患者入选时简化FMA量表、MBI、FCA量表评分无显著性差异,康复干预组在治疗1个月末时MBI、FCA量表评分明显改善(P<0.01),但随病程延长至3月时,提高幅度减缓,简化FMA量表评定无明显改善(P>0.05)。对照组患者入组前后简化FMA量表评定无改善(P>0.05),MBI、FCA量表评分随病程延长,有退化趋势。结论社区综合康复治疗对后遗症期脑卒中患者的运动功能恢复效果不明显,但可以改善其ADL能力,提高患者生存质量。

关键词: 社区康复, 后遗症期脑卒中, 运动功能, 日常生活活动

Abstract: Objective To observe the effect of community rehabilitation on the motor function and activities of daily living(ADL)of stroke patients.Methods 155 stroke patients were randomly divided into the exercises group(n=76)and control group(n=79)and evaluated with simple Fugl-Meyer Assessment(FMA),Modified Barthel Index(MBI)and Functional Comprehensive Assessment(FCA)before treatment and 1 and 3 months after treatment.Results The evaluations of FMA,MBI and FCA were not different between two groups before treatment.One month later,the scores of MBI and FCA of the exercises group improved significantly(P<0.01),but simple FMA not improved even to 3 months after treatment(P>0.05).In the control group,the simple FMA score not improved(P>0.05),the scores of MBI and FCA had a declined tendency with disease course prolong.Conclusion The effect of community rehabilitation on the motor function of stroke patients during convalescence is not significant,but community rehabilitation may improve ADL and the quality of life.

Key words: community rehabilitation, stroke during convalescence, motor function, activities of daily living