摘要
目的:比较不同社区康复治疗模式对脑卒中患者的康复疗效。方法:收集本院脑卒中患者51例,按居住地分为社区康复组和对照组,前者28例患者接受本院康复科医技人员直接参与和指导的社区康复治疗,后者23例仅接受常规社区康复治疗,采用NIHSS卒中量表与Barthel指数对两组患者进行治疗前后的评估,比较两组康复疗效。结果:两组患者接受不同模式的社区康复治疗后,Barthel指数与NIHSS量表评分较治疗前均明显改善(P<0.05),但社区康复组上述两项指标改善情况均优于对照组(P<0.05)。结论:在综合医院康复中心直接指导模式下进行社区康复的新模式,更利于脑卒中患者的康复。
Objective： To explore the outcomes from different modalities of community-based rehabilitation for stroke patients. Methods： Fifty-one cases of stroke patients registered to our hospitals were recruited and, based on their residence （within the jurisdiction of our hospital or not）, allocated to the guided community-based rehabilitation （CBR） group （n=28） or the control group （n=23）. The former received CBR with participation and guidance of our professionals, whereas the latter received routine CBR alone. The National Institute of Health Stroke Scale （NIHSS） and Barthel＇ s index were used to assess the treatment effects. Results： After the two modalities of CBR, significant improvements in Barthel＇ s index and NIHSS were found in both groups （P〈0.05）. Patients in guided CBR group experienced even greater improvement as compared with in the control group （P〈0.05）. Conclusion： Community-based rehabilitation with professional guidance from general hospitals may provide more favorable recovery from stroke patients.
出处
《广州医学院学报》
2008年第1期49-52,共4页
Academic Journal of Guangzhou Medical College
基金
广东省科技厅科研基金资助项目(20055200014)
关键词
脑卒中
社区康复
模式
stroke
community-based rehabilitation
modality
