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目的探讨老年缺血性脑卒中患者康复治疗开始的时机对患者预后的影响。方法选取75例发病情况,治疗情况及一般情况非常相似的老年脑梗死患者,将其分为A组38例(1～3d内康复干预组)和B组37例(7～14d内康复干预组),对其进行康复干预,并对6个月后患者康复情况进行评估。结果 A组肢体恢复预后良好29例,预后不良9例;B组预后良好20例,预后不良17例,两组比较差异具有统计学意义(P<0.05)。而在语言功能方面A组预后良好22例,B组预后良好14例,两组比较虽然差异无统计学意义(P=0.1267),但是A组仍明显优于B组。结论早期康复干预可以在一定程度上提高老年患者的生存质量。
Objective To investigate the impact of the timing of rehabilitation treatment on the prognosis of patients with senile ischemic stroke. Methods Seventy-five patients with senile cerebral infarction who had similar morbidity, treatment and general situation were divided into three groups: group A (38 cases), group B (37 cases) and group B ) For rehabilitation interventions and assessment of patient rehabilitation after 6 months. Results The prognosis of limb recovery in group A was good in 29 cases and the prognosis was poor in 9 cases. The prognosis of group B was good in 20 cases and the prognosis was poor in 17 cases. The difference between the two groups was statistically significant (P <0.05). In terms of language function, group A had a good prognosis in 22 cases and group B had a good prognosis in 14 cases. There was no significant difference between the two groups (P = 0.1267). However, group A was still significantly better than group B. Conclusion Early rehabilitation intervention can improve the quality of life of elderly patients to a certain extent.