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目的:探讨运用健康村管理模式对社区脑卒中偏瘫患者进行综合康复干预的影响效果。方法:将符合入选条件的100例南海沙头社区脑卒中偏瘫患者随机分成两组各50例。观察组患者给予具有中西医结合特色的综合康复干预,对照组仅提供简易康复步骤图谱,由患者自行进行康复治疗。时间观察为1年。比较两组患者干预前、干预后神经功能缺损程度评分表、Fugl-Meyer运动功能评定量表(运动功能量表)、Barthel指数评定量表、神经功能缺损程度的各指标评分。结果:观察组脑卒中偏瘫患者的神经功能缺损程度、Fugl-Meyer运动功能、Barthel指数评价均显著优于对照组,差异具有统计学意义(P<0.01)。结论:利用健康村管理模式的社区综合康复干预能很好地提高脑卒中偏瘫患者运动功能。
Objective: To explore the impact of health village management on community-based hemiplegia patients with comprehensive rehabilitation intervention. Methods: A total of 50 stroke patients with hemiparesis were randomly divided into two groups according to the inclusion criteria. Patients in the observation group were given comprehensive rehabilitation intervention with the characteristics of integrated traditional Chinese and western medicine. The control group only provided the simple rehabilitation step map, and the patients were rehabilitated by themselves. Time observation for 1 year. The scores of neurological deficit score, Fugl-Meyer motor function scale (motor function scale), Barthel index scale and neurological deficit score before and after intervention were compared between the two groups. Results: The degree of neurological deficit, Fugl-Meyer motor function and Barthel index in patients with hemiplegia after stroke were significantly better than those in control group (P <0.01). Conclusion: Community-based rehabilitation intervention using healthy village management can improve the motor function of patients with hemiplegia after stroke.