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1.
目的:探索规范的三级康复治疗对于脑卒中偏瘫患者综合功能的影响。方法:脑卒中52例患者在脑梗死和脑出血二个层次上区组随机化分成康复组和对照组,康复组给予规范的三级康复治疗,对照组不给予规范的三级康复治疗,但是一般的常规内科治疗同治疗组。结果:康复组在各阶段的评分明显高于对照组(P<0.001),康复组各阶段评分积分的差值明显高于对照组(P<0.001);入组时、1个月、3个月和6个月时康复组患者的综合功能分别相当于正常人的40.01%、59.43%、77.75%和88.04%,而对照组分别为:35.14%、40.45%、51.61%和57.48%,另外,入组时,1个月、3个月和6个月时康复组患者的综合功能分别相当于对照组的116.71%、146.90%、150.65%和153.16%;1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组综合功能积分差值相当于对照组的指数分别是:3.46、2.34和2.18,另外,1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组综合功能积分差值分别高于对照组:14.14分、22.69分和27.45分。结论:规范三级康复治疗对于脑卒中患者各阶段综合功能的提高具有明显的促进作用。  相似文献   

2.
规范三级康复治疗对脑卒中偏瘫患者运动功能康复的影响   总被引:7,自引:3,他引:4  
目的:探索规范的三级康复治疗对于脑卒中偏瘫患者运动功能的影响.方法:82例脑卒中患者在脑梗死和脑出血两个层次上随机分成康复组和对照组,康复组给予规范的三级康复治疗,对照组不给予规范的三级康复治疗,但是一般的常规内科治疗同康复组.结果:对照组2例死亡,康复组无死亡病例.康复组在各阶段的运动功能评分明显高于对照组(P<0.01),康复组各阶段运动功能评分积分差值明显高于对照组(P<0.01);入组时、1个月、3个月和6个月月末时康复组患者的运动功能分别相当于正常人的32.29%、51.41%、75.00%和87.31%,而对照组分别为:27.62%、34.42%、48.51%和56.13%,入组时、1个月、3个月和6个月月末时康复组患者的运动功能分别相当于对照组的116.95%、149.35%、154.60%和155.55%;1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组运动功能积分差值相当于对照组的指数分别是:2.81、2.10和1.97,1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组运动功能积分差值分别高于对照组:9.95、17.47和21.12分.结论:规范三级康复治疗对于脑卒中患者各阶段运动功能的提高具有明显的促进作用.  相似文献   

3.
目的探讨规范三级康复治疗对脑卒中偏瘫患者综合功能的临床疗效。 方法选择80例脑卒中患者,男性58例,女性22例;年龄(62.94±8.59)岁。用随机化的方法分为康复组和对照组(对照组中1例脑出血伴发重症胰腺炎患者死亡,1例脑缺血患者进食时窒息死亡),两组均用相同的内科治疗方案,康复组在此基础上增加规范的三级康复治疗技术。两组患者一般资料比较,差异无统计学意义(P&rt;0.05)。两组患者疗效标准采用简化Fugl-Meyer运动功能评定法(FMA)、改良Barthel指数评定法(MBI)和综合功能评定法(FCA)。在入选时(V0)、发病后1个月末(V1)、3个月末(V2)、6个月末(V3)分别进行评定。所有数据均用(x-±s)表示,采用SPSS 10.0软件进行统计分析,组间比较采用t检验。 结果入选时康复组与对照组各项评分差异无统计学意义(P>0.05),康复组经过规范的三级康复治疗后,各阶段(1个月末、3个月末、6个月末)各项评分明显高于对照组,差异有统计学意义(P<0.01),各阶段各项评分的积分差值也明显高于对照组(P<0.01)。 结论规范三级康复治疗对脑卒中偏瘫患者各阶段综合功能有显著的临床疗效。  相似文献   

4.
目的探索规范的社区康复治疗对于脑卒中患者日常生活活动能力的影响。 方法在一项单盲、随机、对照、多中心试验研究中,737例脑卒中患者在脑梗死和脑出血二个层次上按社区随机化分成康复组和对照组,康复组给予规范的社区康复治疗,对照组不给予规范的社区康复治疗,随访5个月,分别于入选时,入选后2个月月末和5个月月末采用改良巴氏指数评分标准进行评测。 结果规范的社区康复治疗5个月后,康复组患者的日常生活活动能力明显优于对照组(P<0.05)。虽然康复组、对照组的日常生活活动能力积分在随访中均有不同程度的改善,但康复组患者各阶段日常生活活动能力评分积分的差值均明显高于对照组(P<0.01)。5个月随访治疗后,脑梗死康复组、脑出血康复组和康复组总体患者的日常生活活动能力分别改善了26.28分、32.89分和27.72分,而对照组分别改善了7.65分、21.70分和10.85分。即和对照组相比,脑梗死康复组则多改善18.63分,脑出血康复组多改善11.19分,康复组总体上多改善16.87分。 结论规范社区康复治疗对于脑卒中患者日常生活活动能力的提高具有较明显的促进作用。  相似文献   

5.
目的:探索三级康复整体护理方案对于脑卒中偏瘫患者运动功能康复的影响。方法:将129例脑卒中患者随机分为护理组、康复组和对照组各43例,三组患者常规内科治疗,康复组在此基础上接受三级康复治疗,护理组在康复组的基础上给予三级康复整体护理。在脑卒中发病后2周内、1个月末、3个月末及6个月末采用Fugl-Meyer运动功能评定量表评价患者的肢体运动功能。结果:护理组在1个月末、3个月末及6个月末的运动功能评分明显优于对照组,3个月末与6个月末的运动功能评分优于康复组(P均〈0.05);护理组患者各阶段运动功能评分的差值明显高于对照组,3个月末与入选时和6个月末与入选时的运动功能评分差值高于康复组(P均〈0.05)。结论:实施三级康复整体护理方案能够有效地促进脑卒中偏瘫患者运动功能恢复。  相似文献   

6.
目的:探索三级康复整体护理方案对于脑卒中偏瘫患者运动功能康复的影响.方法:将129例脑卒中患者随机分为护理组、康复组和对照组各43例,三组患者常规内科治疗,康复组在此基础上接受三级康复治疗,护理组在康复组的基础上给予三级康复整体护理.在脑卒中发病后2周内、1个月末、3个月末及6个月末采用Fugl-Meyer运动功能评定量表评价患者的肢体运动功能.结果:护理组在1个月末、3个月末及6个月末的运动功能评分明显优于对照组,3个月末与6个月未的运动功能评分优于康复组(P均<0.05);护理组患者各阶段运动功能评分的差值明显高于对照组,3个月末与入选时和6个月末与入选时的运动功能评分差值高于康复组(P均<0.05).结论:实施三级康复整体护理方案能够有效地促进脑卒中偏瘫患者运动功能恢复.  相似文献   

7.
目的探讨规范三级康复治疗对于脑卒中患者肢体运动功能的影响。方法将82例脑卒中患者随机分为康复组和对照组,康复组给予规范的三级康复治疗,对照组不给予规范的三级康复治疗,但神经内科常规治疗同康复组。分别于入选时、病后1个月末、3个月末和6个月末采用简化Fugl-Meyer运动功能评分法对患者肢体运动功能进行评测。结果康复组治疗后各阶段的肢体运动功能评分均明显高于对照组(P〈0.05),差异有统计学意义。康复组入组时以及病后1个月、3个月和6个月时肢体运动功能分别相当于正常人的26.10%、42.52%、65.62%和83.7l%,而对照组分别为:18.5l%、24.85%、37.24%和45.84%。结论规范三级康复治疗对于脑卒中患者各阶段肢体运动功能的改善具有明显的促进作用。  相似文献   

8.
规范三级康复治疗对脑卒中患者生存质量的影响   总被引:3,自引:1,他引:2       下载免费PDF全文
目的 探索规范的三级康复治疗后,脑卒中偏瘫患者生存质量的改善规律。方法 按分层区组随机化的方法,将82例脑卒中患者随机纳入到康复组和对照组,康复组在常规内科治疗基础上给予规范的三级康复治疗,对照组仅予以一般的常规内科治疗,分别于入选时,病后1个月末、3个月末和6个月末采用生存质量测定量表简表进行评测。结果 对照组2例死亡,康复组没有死亡病例。康复组患者康复治疗后各阶段生存质量量表中的生理健康、心理状态、社会关系、与周围环境的关系、自身生存质量的总的主观感觉、自身健康状况的总的主观感受和综合自评分等项目的得分明显高于对照组。2组患者的生存质量存在明显差异,随着时间的推移,生存质量的各项评分有着明显的改善(除外社会关系项目)。发病后前3个月生存质量改善最为明显,后3个月生存质量改善速度明显减慢、幅度明显减小。结论 规范三级康复治疗能够明显改善脑卒中患者的生存质量,早期患者生存质量改善较为快速明显,后期生存质量改善速度明显减慢。  相似文献   

9.
目的:探讨三级康复治疗对急性脑卒中患者运动功能及生存质量的影响。方法:80 例脑卒中患者随机分为2组各40例,均予以常规内科治疗,康复组同时给予规范的三级康复治疗。在2组入选时、发病后1、3 及6个月末时进行运动功能(FMA)及生存质量评定。结果:发病后1、3、6个月末时运动功能评分康复组明显高于对照组(P<0.001);生存质量评定发病后1个月末时2组比较差异无显著性;而发病后3、6 个月末时康复组明显优于对照组(P<0.05)。结论:三级康复治疗对脑卒中患者运动功能及生存质量的提高具有重要意义。  相似文献   

10.
目的探索脑卒中三级吞咽康复方案对脑卒中吞咽障碍患者吞咽功能的影响。 方法选择脑卒中患者60例,随机分成康复组和对照组,每组30例。康复组给予三级吞咽康复治疗,对照组给予一般的吞咽康复治疗,2组常规内科治疗相同。2组患者分别于入选时及发病第2周末、1个月末、2个月末采用才藤分级法进行吞咽功能分级,换算成相应的评分后进行比较。 结果康复组在各治疗阶段吞咽功能评分明显高于对照组(P<0.05或0.01)。康复组在各阶段的吞咽功能评分差值明显高于对照组,得分的增长趋势明显高于对照组。 结论三级吞咽康复治疗对于脑卒中患者吞咽功能的改善具有明显的促进作用。  相似文献   

11.
慢性疼痛成为 2 1世纪最普遍、花费最高的健康问题之一 ,严重或持久的疼痛能影响身体的各个系统 ,引起潜在的、严重的健康问题。医护人员应从身体状况、情感因素、精神以及社会关系方面对慢性疼痛病人给予正确而全面地评估 ,并给予综合治疗。  相似文献   

12.
护理综合性实验与培养学生临床护理综合能力探讨   总被引:1,自引:0,他引:1  
目的:通过开展综合性实验,探讨培养学生临床护理综合能力的实验教学方法及效果。方法:选择2004级护理本科4个班(1、2、3、4)183名学生为研究对象。1、3班为实验组,2、4班为对照组。对照组采用传统的验证性实验教学方法,实验组采用开设综合性实验的教学方法。在课程结束后及临床实习期间,分别对两组学生进行实验技能考核、临床实践能力考核和综合能力评价。结果:实验组学生成绩明显优于对照组。结论:综合性实验可激发学生学习兴趣,培养学生临床护理综合能力。  相似文献   

13.
McKenzie技术治疗腰痛临床效果的综合评价   总被引:8,自引:3,他引:5  
目的:运用综合评价法。比较McKenzie技术和中医推拿手法治疗腰痛的疗效。方法:对70例腰痛患者(皆为“可减轻的移位综合征”)。使用McKenzie技术治疗35例.使用中医推拿手法治疗35例。对治疗前和每天治疗后采用“视觉模拟评分法”(VAS)所得的疼痛评分,及对腰椎活动度、下肢放射痛指标,治疗5天后的有效率进行比较分析。并在比较临床效果各分指标的基础上引进综合评价模型对两组治疗效果进行综合分析。结果:治疗前,McKenzie组的VAS疼痛评分(7.84±1.26)和中医推拿组的评分(7.67±1.12)组间比较,无显著性差异P〉0.05。经1-5天治疗后.各天McKenzie组的VAS疼痛评分均较中医推拿组低(P均〈0.05),说明McKenzie组的疗效较好。在腰椎前屈和后伸功能及下肢放射痛的改善上,McKenzie组也明显好于中医推拿组(P均〈0.01)。用综合指数评价法进行综合分析.治疗前两组比较无显著性差异(Z=0.07,P〉0.05);治疗5天后两组比较有显著性意义(Z=7.13,P〈0.001).综合指数McKenzie组的平均水平好于中医推拿组。结论:McKenzie技术治疗腰部力学性疼痛效果显著.见效较快。  相似文献   

14.
目的探讨中小学生假性近视的有效防治措施。方法选取2011年1月~12月在我院眼科中心门诊就诊的中小学生假性近视患儿300例,随机分为干预组和对照组,各150例(150只眼)。干预组采用生理干预、心理干预、药物治疗、眼保健操、健康教育等综合干预措施;对照组采用复方托吡卡胺滴眼液结合眼保健操的防治措施。并观察两组疗效。结果干预组治愈124例,占82.7%,有效10例,占6.7%,总有效率89.3%;对照组治愈69例,占46.0%,有效22例,占39.3%,总有效率60.7%;干预组明显优于对照组,两组比较有显著性差异(P0.01)。结论对中小学生假性近视采取综合干预措施,降低了近视眼的致病因素,缓解和消除用眼疲劳,改善视觉功能,做到以防为主、防治结合,可有效控制并降低近视的发生率。  相似文献   

15.
目的 探讨老年综合评估对山西省某三甲医院老年科患者初步实施效果分析.方法 采用老年综合评估量表对老年患者进行评估.结果 接受评估的206例患者,年龄平均为(79.165±9.298)岁.经CGA发现,跌倒率为42.23%(87/206),小便失禁率为21.29%(43/202),大便失禁率为3.96%(8/202),疼痛发生率为49.03%(101/206),听力异常发生率为67.96%(140/206),视力异常发生率为79.13%(163/206),睡眠异常发生率为49.51%(102/206),日常生活能力有缺陷率为60%(114/190),抑郁发生率为31.96%(62/194),焦虑发生率为25.81%(48/186),营养状况不正常的比例为48.91%(90/184),认知功能障碍的比例为29.22%(45/154),前列腺增生率为100%(44/44).结论 老年患者老年综合征发生率高,通过老年综合评估能够尽早发现老年综合征并且给予有效的干预措施,能够有效地延缓衰老,改善老年人的生活质量,使他们安享晚年.  相似文献   

16.
Objective To study the variation of blood concentration of tetramine in human body with acute tetramine intoxication treated with three different protocols and the levels in human body after discharge from the hos-pital. Methods The blood concentration of tetramine was determined by gas chromatography-mass spectrometry (GC-MS). All 101 patients of acute tetramine intoxication were divided into 3 groups (routine comprehensive treat-ment group,hemoperfusion group,blood transfusion group) according to their blood concentration of tetramine and clinical symptoms. The patients were followed up to monitor the tetramine levels in a year. Results The level of tet-famine in blood was decreased from 33.0(1.7~115.0)μg/L to 18.0(0.3~47.6)μg/L in routine comprehensive treatment group. The total decrement was 45.5 %. The level was decreased from 108.0 (54.0~290.0)μg/L to 26.0 μg/L in hemoperfusion group. The total decrement was 75.9%. The decrement was 20.0%~45.0% after each he-moperfusion. The level was slightly high after 24 h of hemoperfusion. The total decrement in blood transfusion group was 33.5%~60.0%. The level was <0.3μg/L in all 25 out-patients 1 year after their intoxication. Conclusion Routine comprehensive treatment,hemoperfusion,blood transfusion are effective in the treatment of acute tetramine intoxication. The degradation of tetramine in human body is slow.  相似文献   

17.
Objective To study the variation of blood concentration of tetramine in human body with acute tetramine intoxication treated with three different protocols and the levels in human body after discharge from the hos-pital. Methods The blood concentration of tetramine was determined by gas chromatography-mass spectrometry (GC-MS). All 101 patients of acute tetramine intoxication were divided into 3 groups (routine comprehensive treat-ment group,hemoperfusion group,blood transfusion group) according to their blood concentration of tetramine and clinical symptoms. The patients were followed up to monitor the tetramine levels in a year. Results The level of tet-famine in blood was decreased from 33.0(1.7~115.0)μg/L to 18.0(0.3~47.6)μg/L in routine comprehensive treatment group. The total decrement was 45.5 %. The level was decreased from 108.0 (54.0~290.0)μg/L to 26.0 μg/L in hemoperfusion group. The total decrement was 75.9%. The decrement was 20.0%~45.0% after each he-moperfusion. The level was slightly high after 24 h of hemoperfusion. The total decrement in blood transfusion group was 33.5%~60.0%. The level was <0.3μg/L in all 25 out-patients 1 year after their intoxication. Conclusion Routine comprehensive treatment,hemoperfusion,blood transfusion are effective in the treatment of acute tetramine intoxication. The degradation of tetramine in human body is slow.  相似文献   

18.
Objective To study the variation of blood concentration of tetramine in human body with acute tetramine intoxication treated with three different protocols and the levels in human body after discharge from the hos-pital. Methods The blood concentration of tetramine was determined by gas chromatography-mass spectrometry (GC-MS). All 101 patients of acute tetramine intoxication were divided into 3 groups (routine comprehensive treat-ment group,hemoperfusion group,blood transfusion group) according to their blood concentration of tetramine and clinical symptoms. The patients were followed up to monitor the tetramine levels in a year. Results The level of tet-famine in blood was decreased from 33.0(1.7~115.0)μg/L to 18.0(0.3~47.6)μg/L in routine comprehensive treatment group. The total decrement was 45.5 %. The level was decreased from 108.0 (54.0~290.0)μg/L to 26.0 μg/L in hemoperfusion group. The total decrement was 75.9%. The decrement was 20.0%~45.0% after each he-moperfusion. The level was slightly high after 24 h of hemoperfusion. The total decrement in blood transfusion group was 33.5%~60.0%. The level was <0.3μg/L in all 25 out-patients 1 year after their intoxication. Conclusion Routine comprehensive treatment,hemoperfusion,blood transfusion are effective in the treatment of acute tetramine intoxication. The degradation of tetramine in human body is slow.  相似文献   

19.
Objective To study the variation of blood concentration of tetramine in human body with acute tetramine intoxication treated with three different protocols and the levels in human body after discharge from the hos-pital. Methods The blood concentration of tetramine was determined by gas chromatography-mass spectrometry (GC-MS). All 101 patients of acute tetramine intoxication were divided into 3 groups (routine comprehensive treat-ment group,hemoperfusion group,blood transfusion group) according to their blood concentration of tetramine and clinical symptoms. The patients were followed up to monitor the tetramine levels in a year. Results The level of tet-famine in blood was decreased from 33.0(1.7~115.0)μg/L to 18.0(0.3~47.6)μg/L in routine comprehensive treatment group. The total decrement was 45.5 %. The level was decreased from 108.0 (54.0~290.0)μg/L to 26.0 μg/L in hemoperfusion group. The total decrement was 75.9%. The decrement was 20.0%~45.0% after each he-moperfusion. The level was slightly high after 24 h of hemoperfusion. The total decrement in blood transfusion group was 33.5%~60.0%. The level was <0.3μg/L in all 25 out-patients 1 year after their intoxication. Conclusion Routine comprehensive treatment,hemoperfusion,blood transfusion are effective in the treatment of acute tetramine intoxication. The degradation of tetramine in human body is slow.  相似文献   

20.
Objective To study the variation of blood concentration of tetramine in human body with acute tetramine intoxication treated with three different protocols and the levels in human body after discharge from the hos-pital. Methods The blood concentration of tetramine was determined by gas chromatography-mass spectrometry (GC-MS). All 101 patients of acute tetramine intoxication were divided into 3 groups (routine comprehensive treat-ment group,hemoperfusion group,blood transfusion group) according to their blood concentration of tetramine and clinical symptoms. The patients were followed up to monitor the tetramine levels in a year. Results The level of tet-famine in blood was decreased from 33.0(1.7~115.0)μg/L to 18.0(0.3~47.6)μg/L in routine comprehensive treatment group. The total decrement was 45.5 %. The level was decreased from 108.0 (54.0~290.0)μg/L to 26.0 μg/L in hemoperfusion group. The total decrement was 75.9%. The decrement was 20.0%~45.0% after each he-moperfusion. The level was slightly high after 24 h of hemoperfusion. The total decrement in blood transfusion group was 33.5%~60.0%. The level was <0.3μg/L in all 25 out-patients 1 year after their intoxication. Conclusion Routine comprehensive treatment,hemoperfusion,blood transfusion are effective in the treatment of acute tetramine intoxication. The degradation of tetramine in human body is slow.  相似文献   

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