卒中单元个体化康复训练对急性脑卒中患者预后的影响

摘要

Objective To investigate the effect of early individualized rehabilitation training on the prognosis of stroke patients.Methods 120 cases of acute stroke patients were randomly divided into individualized rehabilitation group and routine treatment(control group),60 cases in each. Using the routine drug treatment and nursing,the control group in the condition stable 2 weeks after beginning of conventional rehabilitation training,rehabilitation group in stable condition after 1 to 3 days use of individual programs and comparison of the 28 day and 90 day of two groups of patients with ADL,NIHSS score. Results After treatment for 28 days and 90 days,compared with NIHSS score,rehabilitation group was much lower than that in the control group scores,the difference was significant,P<0.05. ADL score was significantly higher than the control group,two groups of comparisons,the difference is significant,P<0.05. Conclusion In acute stroke patients for the early period of the disease given individualized rehabilitation training mode,which can effectively improve the limb function,improve the ability of daily life of patients,improve the patient's prognosis and improve quality of life.%目的：探讨早期个体化康复训练对卒中单元患者预后的影响。方法将120例急性脑卒中患者随机分为个体化康复组与常规治疗（对照组）各60例，对照组在病情稳定2周后开始进行常规康复训练，康复组在病情稳定后1～3 d即采用个体化方案，比较入院时及发病28 d及90 d两组患者的ADL、NIHSS评分。结果治疗后28 d和90 d比较，康复组患者NIHSS评分较对照组低，差异具有统计学意义，P＜0.05； ADL能力评分比对照组高，两组比较，差异具有统计学意义，P＜0.05。结论对于急性脑卒中患者，在发病早期给予个体化康复训练模式，可有效的改善患肢功能，提高患者日常生活能力，最大程度的改善患者的预后，提高生存质量。