改良强制运动康复护理对脑卒中偏瘫患者综合功能的疗效分析

目的分析改良强制运动康复护理对脑卒中偏瘫患者综合功能的临床疗效。方法选取2010年2月～2012年10月武汉市汉口医院医学中心收治住院的脑卒中偏瘫患者168例作为研究对象，随机分为研究组和对照组，每组各84例，研究组给予改良强制运动康复护理，对照组给予Bobath护理疗法．观察两组患者治疗后综合功能评分和综合功能分布情况。结果研究组各阶段的FCA评分均高于对照组怫1个月：（66．3±21．2）分比（56．3±16．2）分，t=12．928，P=0．033；第3个月：（83．2±17．2）分比（67．5±20．1）分，t=13．223，P=0．028；第6个月：（92．1±14．3）分比（75．5±18．1）分，t=11．716，P=0．032]，各阶段比较差异均有统计学意义（P〈0．05）。改良经强制性运动康复护理治疗6个月后，研究组综合功能正常和基本正常患者所占比例为65．5％，高于对照组（45．2％），两组相比，差异有统计学意义（P〈0．05）。结论改良强制运动康复护理对脑卒中偏瘫患者综合功能的改善具有较好的疗效。

Curative effect anaysis of the comprehensive function of improved forced movement rehabilitation for stroke patients with hemiplegia

Objective To analyze the effect of the comprehensive function of improved forced movement rehabilitation for stroke patients with hemiplegia. Methods 168 patients with stroke in rehabilitation department of Hankou Hospital of Wuhan City from February 2010 to October 2012 were selected as research object and randomly divided into study group and the control group with 84 cases in each group. The study group were given the improved forced exercise rehabilitation care, the control group were received the Bobath therapy. The integrated function score distribution of the two group were compared. Results The FCA score of the study group was higher than which in the control group the first month treatment was （66.3± 21.2） point vs （56.3±16.2） point, t = 12.928, P = 0.033; the third month treatment was （83.2±17.2） point vs （67.5±20.1） point, t = 13.223, P = 0.028; the sixth months treatment was （92.1±14.3） point vs （75.5±18.1） point, t = 11.716, P = 0.032], there were significant difference in all stage （P 〈 0.05）. After 6 months of treatment, the normal integrated function of the study group was 65.5% which was higher than which in the control group （45.2%）, and there was significant difference between the two groups （P 〈 0.05）. Conclusion The improved force movement exercise rehabilitation care may have better curative effect in the improvement of the comprehensive function of stroke patients.