康复干预对缺血性脑卒中患者的效果分析(1)
[摘要] 目的 探討分阶段康复干预对缺血性脑卒中患者的功能康复及院内感染的预防效果。方法 随机选取该院2014年1月—2016年8月收治的100例神经内科脑卒中患者，随机将患者分为两组，每组50例，其中，观察组实施康复干预，对照组实施常规干预，对两组患者的日常生活能力及预后、生活质量和院内感染情况进行分析和评定。结果 观察组发病后1个月时的GOS评分、Barthel指数分别为(13.12±4.55)分、(71.52±1.43)，出院时的手功能、行动能力、记忆与思维、交流、情感、社会参与、力量等方面的生活质量评分分别为(118.12±28.44)分、(167.45±38.23)分、(156.23±32.14)分、(179.21±32.34)分、(152.87±23.23)分、(160.11±21.12)分、(108.33±43.23)分、(156.31±36.69)分，明显高于对照组，差异有统计学意义(P<0.05)。在患者出院时，回顾性统计院内感染情况，观察组发生率为6.0%，对照组发生率为20.0%，对照组发生率显著高于观察组，经过抗生素等对症治疗，均治愈，差异有统计学意义(P<0.05)。结论 合理并分阶段的实施康复干预能有效预防缺血性脑卒中患者可能出现的后遗症和并发症，减少疾病给患者带来的痛苦，帮助患者早日康复。
[关键词] 分阶段；康复干预；缺血性脑卒中；功能康复；院内感染
[中图分类号] R74 [文献标识码] A [文章编号] 1674-0742(2017)01(c)-0088-03
Analysis of Effect of Rehabilitation Intervention on Patients with Cerebral Arterial Thrombosis
WANG Qi1， LI Hong-shuang2， LIU Ai-xian1， ZHANG Wen-yi1
1.Beijing Rehabilitation Hospital Affiliated to Capital Medical University， Beijing， 100144 China；2.General Hospital of China Aviation， China Medical University， Beijing， 100144 China
[Abstract] Objective To discuss the preventive effect of staged rehabilitation intervention on the function rehabilitation and hospital infection of patients with cerebral arterial thrombosis. Methods Random selection 100 cases of patients with stroke in the department of neurology in our hospital from January 2014 to August 2016 were selected and randomly divided into two groups with 50 cases in each， the observation group adopted the rehabilitation intervention， while the control group adopted the routine intervention， and the daily living abilities， prognosis， quality of life and hospital infection of patients were analyzed and evaluated. Results The GOS score and Barthel index in 1 month after attack in the observation group was respectively (13.12±4.55)points and (71.52±1.43)， at admission， the hand function， behavioral ability， memory and thinking， communication， emotion， social participation and power were respectively(118.12±28.44)points，(167.45±38.23)points，(156.23±32.14)points，(179.21±32.34)points，(152.87±23.23)points，(160.11±21.12)points，(108.33±43.23)points，(156.31±36.69)points， which were obviously higher than those in the control group， and the differences had statistical significance(P<0.05)， at discharge， the hospital infection was retrospectively analyzed， and the incidence rate in the control group was obviously higher than that in the control group(20.0% vs 6.0%)， and after the symptomatic treatment of antibiotics， all patients were cured and the difference had statistical significance(P<0.05). Conclusion The rational and staged rehabilitation intervention can effectively prevent the potential sequelae and complications of patients with cerebral arterial thrombosis， reduce pains and help patients recover early., 百拇医药(王琦 李红双 刘爱贤 张文毅)
[关键词] 分阶段；康复干预；缺血性脑卒中；功能康复；院内感染
[中图分类号] R74 [文献标识码] A [文章编号] 1674-0742(2017)01(c)-0088-03
Analysis of Effect of Rehabilitation Intervention on Patients with Cerebral Arterial Thrombosis
WANG Qi1， LI Hong-shuang2， LIU Ai-xian1， ZHANG Wen-yi1
1.Beijing Rehabilitation Hospital Affiliated to Capital Medical University， Beijing， 100144 China；2.General Hospital of China Aviation， China Medical University， Beijing， 100144 China
[Abstract] Objective To discuss the preventive effect of staged rehabilitation intervention on the function rehabilitation and hospital infection of patients with cerebral arterial thrombosis. Methods Random selection 100 cases of patients with stroke in the department of neurology in our hospital from January 2014 to August 2016 were selected and randomly divided into two groups with 50 cases in each， the observation group adopted the rehabilitation intervention， while the control group adopted the routine intervention， and the daily living abilities， prognosis， quality of life and hospital infection of patients were analyzed and evaluated. Results The GOS score and Barthel index in 1 month after attack in the observation group was respectively (13.12±4.55)points and (71.52±1.43)， at admission， the hand function， behavioral ability， memory and thinking， communication， emotion， social participation and power were respectively(118.12±28.44)points，(167.45±38.23)points，(156.23±32.14)points，(179.21±32.34)points，(152.87±23.23)points，(160.11±21.12)points，(108.33±43.23)points，(156.31±36.69)points， which were obviously higher than those in the control group， and the differences had statistical significance(P<0.05)， at discharge， the hospital infection was retrospectively analyzed， and the incidence rate in the control group was obviously higher than that in the control group(20.0% vs 6.0%)， and after the symptomatic treatment of antibiotics， all patients were cured and the difference had statistical significance(P<0.05). Conclusion The rational and staged rehabilitation intervention can effectively prevent the potential sequelae and complications of patients with cerebral arterial thrombosis， reduce pains and help patients recover early., 百拇医药(王琦 李红双 刘爱贤 张文毅)