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目的探讨综合社区康复疗法在脑卒中患者康复中的应用效果。方法选取2013年1月—2014年6月在珠海市第二人民医院康复科行康复治疗的脑卒中患者98例,随机分成观察组和对照组,每组49例。对照组患者采用功能康复疗法进行康复训练,观察组患者采用综合社区康复疗法进行康复训练。治疗前、治疗1个月后、治疗3个月后采用美国国立卫生研究院卒中量表(NIHSS)评定患者神经功能缺损程度,采用简化版中风患者运动功能量表(SFMA)评定患者运动功能,采用Barthel评分法评定患者日常生活自理能力。结果两组患者治疗前NIHSS评分、SFMA评分、Barthel评分及治疗1个月后SFMA评分比较,差异无统计学意义(P>0.05);治疗1、3个月后观察组患者NIHSS评分低于对照组、Barthel评分高于对照组,治疗3个月后观察组患者SFMA评分高于对照组(P<0.05)。结论综合社区康复疗法能明显改善脑卒中患者神经功能缺损程度,提高患者运动功能及日常生活自理能力。
Objective To explore the effect of comprehensive community rehabilitation therapy in the rehabilitation of patients with stroke. Methods From January 2013 to June 2014, 98 patients with stroke in rehabilitation department of Zhuhai Second People’s Hospital Rehabilitation Branch were randomly divided into observation group and control group, with 49 cases in each group. Patients in the control group received functional rehabilitation therapy for rehabilitation training, and patients in observation group received comprehensive community-based rehabilitation therapy for rehabilitation. Before treatment and 1 month after treatment, the degree of neurological deficit was assessed by National Institutes of Health Stroke Scale (NIHSS) after 3 months of treatment. The motor function of patients was assessed by the simplified stroke motor function scale (SFMA) The Barthel score was used to assess the patient’s daily living self-care ability. Results There was no significant difference in NIHSS score, SFMA score, Barthel score and SFMA score one month after treatment in both groups (P> 0.05). NIHSS scores in observation group were lower than those in control group Barthel score was higher than that of the control group. The SFMA score of the observation group was higher than that of the control group after 3 months of treatment (P <0.05). Conclusion Integrated community rehabilitation therapy can significantly improve the degree of neurological deficits in patients with stroke, improve motor function and daily living self-care ability.