【摘要】：目的研究腦梗死短期住院患者的康復(fù)效益。方法選取本院收治的60例腦梗死患者,分為觀察組與對(duì)照組,兩組采用相同的藥物治療方法。觀察組每天進(jìn)行以Bobath法為主的康復(fù)訓(xùn)練,對(duì)照組每天進(jìn)行關(guān)節(jié)活動(dòng)度訓(xùn)練與物理因子治療,采用FIM量表對(duì)兩組患者的康復(fù)效益進(jìn)行評(píng)價(jià)和比較。結(jié)果兩組在入院和出院時(shí)的功能獨(dú)立檢查運(yùn)動(dòng)分、認(rèn)知分以及總分無明顯差異(P0.05),兩組住院期間功能獨(dú)立檢查改變有明顯差異(P0.05),兩組FIM改變值中只有運(yùn)動(dòng)項(xiàng)有明顯差異(P0.05)。兩組的康復(fù)效益比較無明顯差異(P0.05)。結(jié)論早期康復(fù)治療對(duì)于腦梗死短期住院患者只能提高其FIM中的"運(yùn)動(dòng)項(xiàng)"得分,對(duì)于患者整體ADL功能的提高沒有積極意義,說明住院時(shí)間過短對(duì)腦梗死患者康復(fù)效益的提高不利的。
[Abstract]:Objective to study the rehabilitation benefit of short-term inpatients with cerebral infarction. Methods 60 patients with cerebral infarction treated in our hospital were divided into two groups: the observation group and the control group. The two groups were treated with the same medicine. The observation group was given daily rehabilitation training with Bobath method and the control group was given daily joint motion training and physical factor therapy. The rehabilitation benefits of the two groups were evaluated and compared by using FIM scale. Results there was no significant difference in motor score, cognitive score and total score between the two groups at admission and discharge (P0.05). There was significant difference in functional independent examination between the two groups during hospitalization (P0.05), and there was only significant difference in the changes of FIM between the two groups (P0.05). There was no significant difference in rehabilitation benefit between the two groups (P0.05). Conclusion early rehabilitation therapy can only improve the score of "motor item" in FIM of patients with cerebral infarction, but has no positive significance for the improvement of ADL function. It shows that too short hospital stay is unfavorable to the improvement of rehabilitation benefit of patients with cerebral infarction.
【作者單位】： 黑龍江省農(nóng)墾總局總醫(yī)院康復(fù)科;
【分類號(hào)】：R743.33

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