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近10余年来随着康复医学,特别是神经康复学的建立与发展,越来越多的研究表明,脑卒中康复的理论和方法学应用研究更注重全面康复(Comprehensive Rehabilitation)的内涵及特点。即恢复病人最佳生活质量(QL),使之尽可能应用其所存在的能力。每一种医疗手段,都应客观地使病人向着这一主要目标努力。由此可见,提高生活质量是从低水平向中等水平和最高水平完全满意(Complete Satisfacton)前进。然而,在我国脑血管病幸存者的长期医疗活动中,神经科学方法的影响受到冲击,同时也由于社区康复的兴起,脑卒中幸存者将从被动角色变为主动参与者,使得诸多中风存活者在社区寻求更多的社会措施来改善其自立的生活能力。本文拟根据一些有关文献对脑血管病社区康复的理论和应用进行讨论。 1 社区康复的概念和功效
In recent 10 years, with the establishment and development of rehabilitation medicine, especially neuro-rehabilitation, more and more researches have shown that the application of theory and methodology of stroke rehabilitation focuses more on the connotation and characteristics of Comprehensive Rehabilitation. That is, restore the patient’s optimal quality of life (QL) so that as much as possible of the capabilities that exist. Every medical treatment should objectively make the patient work toward this major goal. From this we can see that improving the quality of life is from the low level to the complete level and the highest level (Complete Satisfacton). However, the impact of neuroscience methods is impacted by the long-term medical activities of survivors of cerebrovascular disease in our country. At the same time, due to the rise of CBR, stroke survivors will change from passive roles to active participants, making many stroke survivors Seek more social measures in the community to improve their self-supporting living abilities. This article intends to discuss the theory and application of community-based rehabilitation of cerebrovascular disease based on some related literatures. 1 The concept and efficacy of community rehabilitation