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目的探讨临床路径(clininal pathway,CP)在急性脑梗死偏瘫患者康复训练中的应用效果。方法将107例脑梗死患者随机分为两组,CP早期康复组56例,对照组53例。应用Bar-thel指数和简化Fugl-Meyer评分法分别对两组患者病后24h、1个月、3个月予以评定。结果 CP康复组和对照组病后1个月、3个月时患者的日常生活能力、语言功能及肢体运动功能较入院24h时均有改善(P<0.05),但CP康复组Barthel指数和Fugl-Meyer积分评定得分均好于对照组,差异有统计学意义(P<0.01)。结论应用临床路径对脑梗死偏瘫患者进行康复训练比传统康复训练更有利于患者日常生活能力、语言及运动功能的恢复。
Objective To investigate the clinical effect of clininal pathway (CP) on rehabilitation of hemiparetic patients with acute cerebral infarction. Methods A total of 107 patients with cerebral infarction were randomly divided into two groups: 56 in the early rehabilitation group and 53 in the control group. The Bar-thel index and the simplified Fugl-Meyer score were used to evaluate the patients’ 24h, 1 month and 3 months after the illness respectively. Results CP rehabilitation group and control group at 1 month and 3 months after illness, the daily living ability, language function and limb motor function of patients in both rehabilitation group and control group were improved 24 hrs after admission (P <0.05). However, Barthel index and Fugl -Meyer scores were better than the control group, the difference was statistically significant (P <0.01). Conclusions It is more beneficial to the patients with hemiplegia patients to recover from hemiplegia by clinical pathology than with traditional rehabilitation training.