脑卒中不同阶段分级康复模式对患者神经功能与生活能力的影响
Modern Journal of Integrated Traditional Chinese and Western Medicine（2020）
Abstract
目的 探讨在脑卒中急性期、稳定期以及维持期三个不同阶段,对患者实施分级康复模式的价值,并总结对患者神经功能与生活能力的影响.方法 选取2016年7月—2018年12月十堰市人民医院收治的符合入选标准的124例脑卒中患者为研究对象,依据随机数字表法将124例患者分为研究组与对照组,每组62例.对照组仅给予患者实施常规护理干预,研究组则对患者实施分级康复模式干预,评估2组患者康复前、康复后6个月神经功能缺损情况、运动功能以及生活能力,同时比较2组患者的并发症发生率,其中采用神经功能缺损程度量表(CSS)评价患者的神经功能,采用简化版Fugl-Meyer运动功能量表评估患者运动功能,采用Barthel指数评定患者的生活能力.结果 康复后6个月,2组患者的CSS评分均下降且研究组降低更为明显,差异有统计学意义(P均<0.05);2组患者的Fugl-Meyer评分与Barthel指数评分均升高且研究组显著高于对照组(P均<0.05);研究组患者的泌尿系感染、肺部感染以及肩手综合征发生率均低于对照组(P均<0.05);2组患者的压疮与下肢深静脉血栓发生率比较差异无统计学意义(P均>0.05).结论 分级康复模式能够促进患者运动功能、神经功能的恢复,提高患者生活能力,降低泌尿系与肺部感染及肩手综合征的发生率.
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