论文部分内容阅读
目的探讨早期康复干预对急性脑卒中患者预后的影响。方法选取2014年4月—2015年4月在淮安市金湖县人民医院神经内科住院治疗的急性脑卒中患者300例,随机分为对照组和观察组,每组150例。对照组患者接受药物治疗,观察组患者在药物治疗基础上接受早期康复干预;两组患者疗程均为3个月。比较两组患者干预前后Barthel指数、Fugl-Meyer评分、标准吞咽功能评价量表(SSA)评分、电视透视吞咽功能检查(VFSS)评分、中国卒中患者神经功能缺损程度评分标准(CSS)评分、加拿大神经功能缺损量表(CNS)评分,观察两组患者并发症发生情况。结果干预前两组患者Barthel指数、Fugl-Meyer评分比较,差异无统计学意义(P>0.05);干预后观察组患者Barthel指数、Fugl-Meyer评分高于对照组(P<0.05)。干预前两组患者SSA评分、VFSS评分比较,差异无统计学意义(P>0.05);干预后观察组患者SSA评分低于对照组,VFSS评分高于对照组(P<0.05)。干预前两组患者CSS评分、CNS评分比较,差异无统计学意义(P>0.05);干预后观察组患者CSS评分、CNS评分高于对照组(P<0.05)。观察组患者肺部感染、压疮、深静脉血栓形成、偏瘫、失语发生率低于对照组(P<0.05)。结论早期康复干预可有效降低急性脑卒中患者并发症发生风险,促进患者康复,提高患者生存质量。
Objective To investigate the effect of early rehabilitation intervention on the prognosis of acute stroke patients. Methods A total of 300 acute stroke patients hospitalized in Jinhu County People’s Hospital of Huaian from April 2014 to April 2015 were randomly divided into control group and observation group with 150 cases in each group. The patients in the control group received medication, and the patients in the observation group received early rehabilitation intervention on the basis of drug treatment. Both groups were treated for 3 months. Barthel index, Fugl-Meyer score, standard swallowing function evaluation scale (SSA), VFSS score, Chinese CSS score of stroke patients in both groups were compared before and after intervention. Neurological deficit scale (CNS) score, the incidence of complications in both groups were observed. Results There was no significant difference in Barthel index and Fugl-Meyer score between the two groups before intervention (P> 0.05). The Barthel index and Fugl-Meyer score of the observation group were higher than those of the control group after intervention (P <0.05). There was no significant difference in SSA score and VFSS score between the two groups before intervention (P> 0.05). After intervention, SSA score of observation group was lower than that of control group, and VFSS score was higher than that of control group (P <0.05). There was no significant difference in CSS score and CNS score between the two groups before intervention (P> 0.05). CSS score and CNS score of observation group were higher than those of control group after intervention (P <0.05). The incidence of pulmonary infection, pressure sores, deep vein thrombosis, hemiplegia and aphasia in observation group was lower than that in control group (P <0.05). Conclusion Early rehabilitation intervention can effectively reduce the risk of complications in patients with acute stroke, promote patient rehabilitation and improve the quality of life of patients.