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早期综合康复治疗急性脑栓塞性脑梗患者的临床效果探讨(1)
http://www.100md.com 2017年4月15日 《中外医疗》 2017年第11期
     DOI:10.16662/j.cnki.1674-0742.2017.11.109

    [摘要] 目的 探讨早期综合康复治疗急性脑栓塞性脑梗的临床效果。方法 方便选取该院急诊部2014年10月—2015年10月就治的89例患者,随机分为观察组(早期综合康复治疗组)45例和对照组(常规康复治疗组)44例,比较两组治疗效果。 结果 观察组的平衡功能得分(12.84±2.31)分及日常生活能力得分(30.9±3.5)分显著优于对照组的平衡功能得分(7.85±1.49)分及日常生活能力得分(27.6±3.2)分(P<0.05);观察组的脑卒中运动功能分级率显著优于对照组(P<0.05);观察组的肢体运动功能得分(68.6±5.4)分,优于对照组的肢体运动功能得分(50.2±4.3)(P<0.05)。采用早期综合康复治疗的观察组各项指标均优于对照组(采用常规康复治疗),差异有统计学意义(P<0.05)。 结论 对急性脑栓塞性脑梗采用早期综合康复治疗效果显著、安全可靠。

    [关键词] 早期综合康复治疗;急性脑栓塞;临床效果

    [中图分类号] R743.3 [文献标识码] A [文章编号] 1674-0742(2017)04(b)-0109-03

    Study on Clinical Effect of Early Comprehensive Rehabilitation in Treatment of Patients with Acute Cerebral Embolism

    HE Mai-ding, QIAN Yan, JI Mei-lian

    Department of Rehabilitation, Qujing Frist People’s Hospital, Qujing, Yunnan Province, 6550001 China

    [Abstract] Objective To study the clinical effect of early comprehensive rehabilitation in treatment of patients with acute cerebral embolism. Methods Convenient selection 89 cases of patients diagnosed in our hospital from October 2014 to October 2015 were selected and randomly divided into the two groups, the observation group with 45 cases was treated with early general comprehensive rehabilitation, while the control group with 44 cases was treated with routine rehabilitation, and the treatment effect was compared between the two groups. Results The balance function score and daily living abilities score in the observation group were obviously better than those in the control group[(12.84±2.31)points, (30.9±3.5)points vs (7.85±1.49)points, (27.6±3.2)points](P<0.05), and the stroke motor function classification score in the observation group was obviously better than that in the control group(P<0.05), and the extremity motor function score in the observation group was better than that in the extremity motor function in the control group[(68.6±5.4)point vs (50.2±4.3)point](P<0.05), and various indexes in the observation group were better than those in the control group with statistical significance(P<0.05). Conclusion The effect of early comprehensive rehabilitation treatment of acute cerebral embolism is obvious, and it is safe and reliable.

    [Key words] Early comprehensive rehabilitation treatment; Acute cerebral embolism; Clinical effect

    目前临床治疗主要对原发疾病进行对症综合治疗并进行相应的综合康复运动护理,已有研究表明对急性脑血栓脑梗进行早期康复治疗有较好的辅助治疗效果[1-4],为此方便选取该院急诊部2014年10月—2015年10月就治的89例患者进行早期综合康复治疗急性脑血栓脑梗患者的临床效果探討研究,现报道如下。

    1 资料与方法

    1.1 一般资料

    方便选取在该院进行康复治疗的89例急性脑栓塞性脑梗患者为研究对象,对照组:44例,男性28例,女性16例,平均年龄为(59.3±2.6)岁。观察组:45例,男性29例,女性16例,平均年龄为(58.3±2.9)岁。两组患者均为自愿选择康复治疗方式,两组患者的一般性资料对比差异无统计意义(P>0.05),具有可比性。, http://www.100md.com(何买定 钱燕 季美莲)
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