早期社区康复干预高龄脑卒中后患者认知障碍和睡眠障碍的临床疗效评价

甘淑娟

摘要目的：分析早期社区康复对高龄脑卒中后患者认知障碍以及睡眠障碍的干预效果。方法：选取2015年3月2日至2016年3月4日福建省龙海市第一医院神经内科收治的脑卒中后高龄患者120例作为研究对象，随机分为观察组和对照组，每组60例。观察组行早期社区康复模式，对照组行基础随访，记录2组护理前后的MMSE分数、Barthel分数、SFMA分数以及睡眠质量。结果：护理前，2组MMSE、Barthel以及SFMA分数比较，差异无统计学意义（P>005）;护理后，观察组的各项评分[（195±33）分、（732±162）分、（796±132）分]高于对照组[（139±36）分、（641±155）分、（712±127）分]，组间比较差异有统计学意义（P<005）;观察组睡眠质量优良率9333%高于对照组7000%，组间比较差异有统计学意义（P<005）。结论：高龄脑卒中后患者行社区康复干预模式，有利于认知功能以及睡眠障碍的调节。

关键词高龄脑卒中;社区康复;认知障碍;睡眠障碍;价值分析

Clinical Evaluation of Early Community Rehabilitation Intervention for Cognitive Impairment and Sleep Disorder in Elderly Patients with Stroke

GAN Shujuan

（First hospital of longhai city，Longhai 363100，China）

AbstractObjective：To analyze the effects of early community rehabilitation on cognitive impairment and sleep disturbance in elderly patients with strokeMethods：A total of 120 elderly patients after stroke admitted to the department of neurology of the first hospital of longhai city，fujian province on March 4，2016 were selected as the research objects and randomly divided into observation group and control group，with 60 patients in each groupThe observation group received early community rehabilitation mode，and the control group received basic followupThe MMSE score，Barthel score，SFMA score and sleep quality before and after nursing care in the two groups were recordedResults：Before nursing，MMSE，Barthel and SFMA scores of the two groups were compared，and the difference was not statistically significant（P>005）After nursing，the scores of the observation group[（195±33）points，（732±162）points，（796±132）points]were higher than those of the control group[（139±36）points，（641±155）points，（712±127）points]，and the differences between the groups were statistically significant（P<005）The rate of good and good sleep quality in the observation group was 9333% higher than that of the control group 7000%，and the difference between the groups was statistically significant（P<005）Conclusion：The model of community rehabilitation intervention for elderly stroke patients is beneficial to the adjustment of cognitive function and sleep disorders.

KeywordsSenile stroke; Community rehabilitation; Cognitive impairment; Sleep disorders; Value analysis

中圖分类号：R7433;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.020

随着生活水平的逐渐提高以及人们生活方式的改变，心脑血管不良反应发生率逐年提升，不仅降低患者的生命质量，同时危害患者生命安全[1]。虽然随着当前医疗技术不断发展，死亡率有所降低，但是对患者的颅脑组织，神经功能均产生程度不同的伤害，影响患者的认知功能以及日常生活能力。作为脑卒中患者康复治疗的居住生活的场所，社区康复发挥着十分关键的作用，选取我院神经内科收治的脑卒中后高龄患者120例作为研究对象，现将结果报道如下。

1资料与方法

11一般资料选取2015年3月2日至2016年3月4日福建省龙海市第一医院神经内科收治的脑卒中后高龄患者120例作为研究对象，观察组中男34例，女26例，年龄74～96岁，平均年龄（790±44）岁;对照组中男35例，女25例，年龄75～95岁，年龄均值（791±45）岁，一般资料经统计学分析，差异无统计学意义（P>005），具有可比性。