论文部分内容阅读
目的探索三级康复治疗对卒中偏瘫患者神经功能的影响。方法研究采用大样本、多中心、前瞻性的随机对照研究方法。各分中心分别随机入选患者,然后在脑梗死和脑出血2个层次上区组随机分成康复组和对照组,康复组给予三级康复治疗,对照组不给予三级康复治疗,但是一般的常规内科诊疗同治疗组,分别于入选时,病后1个月、3个月和6个月采用临床神经功能缺损程度评分标准进行评测。结果 1209例患者入选,其中康复组610例,对照组599例。两组患者入选时的神经功能评分差异无统计学意义,康复后脑梗死和脑出血康复组神经功能测评分明显低于对照组的测评分(均 P<0.01)。康复组入选后各阶段的神经功能改善值明显优于对照组(均 P<0.01)。治疗6个月后,脑梗死和脑出血康复组的神经功能分别改善了12.79分和15.23分,而对照组分别改善了8.30分和10.65分。此外,康复组评分下降的趋势明显快于对照组,早期尤为明显。结论三级康复治疗对于卒中患者各阶段神经功能的提高具有明显的促进作用。
Objective To explore the effects of three levels of rehabilitation on neurological function in patients with hemiplegia after stroke. METHODS: Large, multicenter, prospective, randomized, controlled study was used. Each sub-center were randomly selected patients, and then in the cerebral infarction and cerebral hemorrhage two levels of the group were randomly divided into rehabilitation group and control group, rehabilitation group was given three levels of rehabilitation, the control group is not given three levels of rehabilitation, but the general routine Medical treatment with the treatment group, respectively, at the time of enrollment, illness 1 month, 3 months and 6 months using clinical neurological deficit score evaluation. Results 1209 patients were enrolled, including 610 cases in rehabilitation group and 599 cases in control group. There was no significant difference in neurological score between the two groups at the time of enrollment. The neurological function scores of the rehabilitation group after cerebral infarction and cerebral hemorrhage were significantly lower than those of the control group (all P <0.01). After rehabilitation, the improvement of neurological function in each stage was significantly better than that in the control group (all P <0.01). After 6 months of treatment, the neurological function of the cerebral infarction and cerebral hemorrhage rehabilitation groups improved by 12.79 and 15.23 points, respectively, while the control group improved by 8.30 and 10.65 points respectively. In addition, the score of rehabilitation group decreased significantly faster than the control group, especially early. Conclusions Three-level rehabilitation therapy can significantly improve the neurological function in all stages of stroke patients.