卒中单元内早期规范化康复治疗对缺血性脑卒中患者功能恢复的影响
| 作者: |
1秦雅鑫,
2陈峰,
2许冬华,
1汤武装
1 宜兴市人民医院康复科，江苏 宜兴 214200 2 宜兴市人民医院神经内科，江苏 宜兴 214200 |
| 通讯: |
许冬华
Email: staff1281@yxph.com |
| DOI: | 10.3978/j.issn.2095-6959.2021.01.012 |
| 基金: | 无锡市科技发展医疗卫生指导性计划项目 (NZ2019052)。 |
摘要
目的：探究卒中单元内早期规范化康复治疗对缺血性脑卒中患者功能恢复的影响。方法：前瞻性选取2017年1月至2019年1月宜兴市人民医院收治的100例缺血性脑卒中患者，按照随机数表法将所有患者分为对照治疗组和康复治疗组，各50例。对照治疗组患者行临床常规方法治疗，康复治疗组患者行卒中单元内早期规范化康复治疗。评价两组患者住院时间、治疗费用、神经功能、肢体功能、日常生活能力、生活质量、疗效及预后情况。结果：康复治疗组住院时间短于对照治疗组，治疗费用高于对照治疗组，差异有统计学意义(P<0.05)。治疗后康复治疗组神经功能缺损评分量表(Neurological Deficit Scale，NDS)、国立卫生研究院卒中量表(NIH Stroke Scale，NIHSS)评分均高于对照治疗组(均P<0.05)。治疗后康复治疗组运动功能、上肢运动功能、下肢运动功能、平衡能力评分均高于对照治疗组(均P<0.05)。治疗后康复治疗组日常生活能力、生活质量均高于对照治疗组(P<0.05)。康复治疗组治疗总有效率显著高于对照治疗组(P<0.05)。康复治疗组复发率、病死率均低于对照治疗组(P<0.05)。结论：卒中单元内早期规范化康复可显著改善缺血性脑卒中患者神经功能，促进肢体功能的恢复，预后较好，但治疗费用相比常规治疗高，临床上在对缺血性脑卒中患者行卒中单元内早期规范化康复治疗时，应同时关注运用效果和治疗费用，综合患者实际情况实施。
关键词：
卒中单元内早期规范化康复；缺血性脑卒中；神经功能；肢体功能
Effect of early standardized rehabilitation in stroke unit on functional recovery of patients with ischemic stroke
CorrespondingAuthor: XU Donghua Email: staff1281@yxph.com
DOI: 10.3978/j.issn.2095-6959.2021.01.012
Foundation: This work was supported by the Wuxi Science and Technology Development Medical and Health Guidance Plan Project, China (NZ2019052).
Abstract
Objective: To explore the effect of early standardized rehabilitation treatment in stroke unit on the functional recovery of patients with ischemic stroke. Methods: From January 2017 to January 2019, 100 patients with ischemic stroke in Yixing People’s Hospital were selected prospectively. All patients were divided into control group (n=50) and rehabilitation group (n=50) according to the method of random number table. The patients in the control group received clinic conventional treatment, and those in the rehabilitation treatment group received early standardized rehabilitation treatment within the stroke unit. The hospitalization time, cost of treatment, neurological function, limb function, daily living ability, quality of life, curative effect and prognosis of neurological function injury were evaluated. Results: The hospitalization time of rehabilitation group was shorter than that of control group, and the cost of treatment was higher than that of control group; the difference was statistically significant (P<0.05). The scores of Neurological Deficit Scale (NDS) and NIH Stroke Scale (NIHSS) in the rehabilitation group were higher than those in the control group (P<0.05). The scores of motor function, upper limb motor function, lower limb motor function and balance ability in the rehabilitation group were higher than those in the control group (all P<0.05). After treatment, the daily living ability and quality of life in the rehabilitation group were higher than those in the control group (P<0.05). The total effective rate of rehabilitation group was significantly higher than that of control group (P<0.05). The recurrence rate and mortality rate in the rehabilitation group were lower than those in the control group (P<0.05). Conclusion: Early standardized rehabilitation in stroke unit can significantly improve the neurological function of patients with ischemic stroke, and promote the recovery of limb function. The prognosis is satisfactory, but the cost of treatment is higher than that of conventional treatment. In clinical practice, before the implementation of the early standardized rehabilitation treatment measures for patients with ischemic stroke in the stroke unit, attention should be paid to the application effect and treatment cost, and the actual situation of patients should also be integrated.
Keywords：
early standardized rehabilitation treatment in stroke unit; ischemic stroke; neurological function; limb function