三级康复治疗对脑卒中偏瘫患者功能改变的影响

陆敏茹++++++周+++围++++++刘健++++++梁耀基

[摘要] 目的 探讨三级康复治疗对脑卒中后肢体运动功能的影响。 方法 将180例患者随机分为康复组和对照组，康复组采用系统的规范的三级康复治疗，对照组除常规治疗外无其他干预。随访6个月，比较各时段运动评分。 结果 刚入组时，两组患者的运动功能评分比较，差异无统计学意义（P>0.05）。1、3、6个月后，脑梗死康复组运动功能得分、脑出血康复组运动功能得分、总康复组的运动功能得分均明显优于相应的对照组（P<0.05）。各组患者入组后的1、3、6个月，运动功能评分均明显优于入组时的运动功能评分（P<0.05）。 结论 三级康复治疗对改善脑卒中患者的运动功能有明显作用。

[关键词] 脑卒中；三级康复治疗；运动功能

[中图分类号] R743.3[文献标识码] A[文章编号] 1674-4721（2014）06（a）-0060-03

Three stage rehabilitation treatment effect on function change in stroke patients with hemiplegia

LU Min-ru ZHOU Wei LIU Jian LIANG Yao-ji

Department of Rehabilitation Medicine,the First People′s Hospital of Shunde District of Foshan City in Guangdong Province,Foshan 523000,China

[Abstract] Objective To explore the effect of three stage rehabilitation treatment on limb motor function after stroke. Methods 180 cases of patients were randomly divided into two groups,rehabilitation group accepted three stage rehabilitation treatment,the control group accepted conventional medicine but no other intervention.All patients were followed up for 6 months,the time motion score and the score difference of two groups was compared. Results The motor function scores of the two groups just in hospital had no significant difference (P>0.05).After 1 month,3 months,6 months,motor function scores of cerebral hemorrhage rehabilitation group,cerebral infarction rehabilitation group and the rehabilitation group were significantly better than those of the control group,the difference of two groups was significance (P<0.05). After 1 month,3 months,6 months,the motor function scores of two groups were significantly better than those of the baseline score (P<0.05). Conclusion Three stage rehabilitation treatment has a significant effect on the improvement of motor function of stroke patients.

[Key words] Stroke;Three stage rehabilitation;Motor function

脑卒中以突然起病为特征，属脑血液循环障碍性疾病。可通过各种诱发因素引起脑内动脉狭窄，闭塞或破裂，而造成患者急性脑血液循环障碍，临床表现为一次性或永久性脑功能障碍。目前，脑卒中在我国发病率较高。随着医疗水平的日益发展，急性脑卒中患者只要得到及时抢救，救治成功的比例也明显提高。但是，脑卒中后的致残率却高于被救治成功患者总数的80%[1]。致残原因以偏瘫为主，患者的运动功能会受到严重影响[2]。本院近年来采用三级康复疗法对脑卒中偏瘫患者进行康复治疗，为探讨三级康复治疗的效果，本次研究采用随机对照法对患者各阶段的运动功能进行测评与比较。

1 资料与方法

1.1 一般资料

选择我科2012年10月~2013年9月入院治疗的脑卒中患者180例，患者均经颅脑CT或MRI明确诊断，包括新发脑梗死及脑出血患者。经抢救后生命体征已基本稳定，但存在肢体功能障碍。排……