《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (11): 1004-1007.

• 论文 • 上一篇    下一篇

老年脑卒中患者恢复期康复结局1 年追踪调查

朴春花1,2，桑德春1,2，恽晓平1,2，刘松怀1,2，闫岩3，田沈1,2，张晓钰1,2，李欣1,2，卢利萍1,2   

  1. 1.中国康复研究中心北京博爱医院综合康复科，北京市100068；2.首都医科大学康复医学院，北京市100068；3.首都医科大学生物医学工程学院生物信息学系，北京市100069。
  • 收稿日期:2012-05-31 修回日期:2012-07-12 出版日期:2012-11-25 发布日期:2012-11-25

Outcome of Old Patients with Stroke: 1-year Follow-up after Rehabilitation

PIAO Chun-hua, SANG De-chun, YUN Xiao-ping, et al.

  

  1. Department of General Rehabilitation Medicine, Capital Medical University School of Rehabilitation Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2012-05-31 Revised:2012-07-12 Published:2012-11-25 Online:2012-11-25

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被引次数

2

摘要： 目的探讨老年脑卒中患者长期康复结局。方法入院康复治疗的老年初发脑卒中恢复期患者25 例，于住院时、出院时、出院后6 个月及1 年时分别采用简易精神状态检查(MMSE)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、偏瘫侧肢体Brunnstrom分级、修订Ashworth 痉挛评定量表(MAS)、偏瘫侧踝关节活动度(ROM)、双侧股四头肌徒手肌力(MMT)、Berg 平衡量表(BBS)、改良巴氏指数(BI)、Zarit 护理负担指数(ZBI)进行评定。结果经过3 个月左右康复治疗及训练，出院时，患者偏瘫侧下肢Brunnstrom分级、上肢MAS 改善(P<0.05)，ROM、BBS、BI 及ZBI 改善(P<0.05)。出院后6~12 个月，肢体运动功能指标相对稳定，而BBS、MMSE、BI、SAS、ZBI 改善，SDS 有波动(P<0.05)。结论在鼓励患者尽早回归家庭或社区的同时，应强调出院后坚持康复训练和接受定期指导，并进行心理支持和干预。

关键词: 脑卒中, 恢复期, 老年, 康复, 居家生活, 功能评定, 护理负担

Abstract: Objective To investigate the long-term outcome of old stroke patients after rehabilitation. Methods 25 old hospitalized patients with first attack of stroke in recovery were followed up with Mini-mental Status Examination (MMSE), Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), Brunnstrom stages of hemiplegia, modified Ashworth scale (MAS), range of motion (ROM) in hemiplegic ankle, manual muscle test (MMT) of quadriceps femoris, Berg balance scale (BBS), modified Barthel index (BI) and the Zarit burden interview (ZBI) for caregiver before rehabilitation, discharge, 6 and 12 months after discharge. Results The Brunnstrom stages of lower limbs, MAS of upper limbs improved (P<0.05) after 3-month rehabilitation in hospital, as well as the scores of BBS, BI and ZBI. As 6 and 12 months in home, the limb function remained stable, while the scores of BBS, MMSE, BI, SAS, and ZBI improved, but SDS fluctuated (P<0.05). Conclusion It is important to offer the long-term rehabilitation or consultation service when advocating old stroke patients early return to family or community, including psychological support and intervention.

Key words: stroke, recovery stage, elderly, rehabilitation, home living, functional assessment, burden of caregiver