论文部分内容阅读
目的:探讨老年人脑卒中后功能恢复的影响因素。方法:将128例脑卒中患者随机分为康复组50例,对照组78例,再按年龄各组又分高龄组(≥65岁)和低龄组(≤64岁)。康复组加用Bobath手法按摩瘫痪肢体及被动运动手段。评估者实施盲法。结果:康复组和对照组的高、低龄组在治疗30d、半年后与治疗前相应项目评分比较均差异有显著性意义(P<0.05)。在治疗30d后高龄组的康复组Fugl-Meyer下肢评分(21.13±10.17)分与治疗前(15.32±8.22)分比较有统计学意义(P<0.05),对照组则无此改变,治疗前为(14.36±9.81)分,30d后为(16.97±9.74)分(P>0.05),但半年后其神经功能缺损评分则与康复前比较无统计学意义(P>0.05)。结论:是否采用康复手段可影响65岁以上脑卒中患者的康复过程,结果表明高龄脑卒中患者应尽早采用康复手段,对其下肢的运动功能和神经缺损改善有益。
Objective: To explore the influencing factors of functional recovery after stroke in the elderly. Methods: A total of 128 stroke patients were randomly divided into rehabilitation group (n = 50) and control group (n = 78). The age groups were divided into advanced age group (≥65 years) and younger age group (≤64 years). The rehabilitation team used Bobath massage to paralyze their limbs and passive exercise. Evaluators implement blinding. Results: There were significant differences in scores of the corresponding items between the rehabilitation group and the control group at 30 days and 6 months after treatment (P <0.05). The Fugl-Meyer lower limb score (21.13 ± 10.17) in the rehabilitation group was significantly higher than that before treatment (15.32 ± 8.22) after 30 days of treatment (P <0.05), but not in the control group (14.36 ± 9.81), and (16.97 ± 9.74) after 30 days (P> 0.05). But after six months, the score of neurological deficit was not significantly different from that before rehabilitation (P> 0.05). Conclusion: Rehabilitation can affect the rehabilitation of stroke patients over the age of 65. The results show that elderly stroke patients should adopt rehabilitation as soon as possible, which is beneficial to the improvement of motor function and nerve defects of lower extremities.