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综合康复指导模式对脑卒中患者神经功能的影响
引用本文:范宏光,张巧莲,王利军,梁雪梅,李强,谷亚伟,赵岚.综合康复指导模式对脑卒中患者神经功能的影响[J].中国城乡企业卫生,2020(3):17-20.
作者姓名:范宏光  张巧莲  王利军  梁雪梅  李强  谷亚伟  赵岚
作者单位:天津医科大学第四中心临床学院神经内科;中国人民武装警察部队特色医学中心
摘    要:目的研究综合康复指导模式对脑卒中患者神经功能的影响。方法选择2018年1-12月天津医科大学第四中心医院收治的脑卒中患者共计80例,随机分为对照组和观察组,各40例。其中对照组给予常规治疗模式,观察组在此基础上给予综合康复指导。比较两组患者治疗后的康复效果及治疗前后NIHSS、FMA、ADL评分差异。结果治疗前,两组患者NIHSS、FMA、ADL各项评分差异无统计学意义(P>0.05);治疗后,观察组NIHSS、FMA、ADL各项评分情况均明显优于对照组,差异有统计学意义(P<0.05)。结论综合康复指导模式能有效提高脑卒中患者康复疗效,帮助患者提升生活质量,疗效明显,值得临床推广应用。

关 键 词:综合康复指导  脑卒中  NIHSS评分  FMA评分  ADL评分

Effects of comprehensive rehabilitation guidance on neurological function on patients with stroke
FAN Hong-guang,ZHANG Qiao-lian,WANG Li-jun,LIANG Xue-mei,LI Qiang,GU Ya-wei,ZHAO Lan.Effects of comprehensive rehabilitation guidance on neurological function on patients with stroke[J].Chinese Journal Urban and Rural Industrial Hygiene,2020(3):17-20.
Authors:FAN Hong-guang  ZHANG Qiao-lian  WANG Li-jun  LIANG Xue-mei  LI Qiang  GU Ya-wei  ZHAO Lan
Institution:(Department of Neurology,Fourth Central Clinical College Affiliated to Tianjin Medical University,Tianjin 300140,China;Characteristic Medical Center of the Chinese People's Armed Police Force)
Abstract:Objective To study the effects of comprehensive rehabilitation guidance on neurological function on patients with stroke. Methods A total of 80 stroke patients admitted to Fourth Central Clinical College Affiliated to Tianjin Medical University from January to December 2018 were selected and randomly divided into control group and observation group of 40 cases each. The control group was given conventional treatment mode,and the observation group was given comprehensive rehabilitation guidance on this basis.The rehabilitation effect and NIHSS,FMA,ADL scores before and after treatment were compared between the two groups. Results Before treatment,there were no significant differences in NIHSS,FMA and ADL scores between the two groups(P >0.05);after treatment,the scores of NIHSS,FMA and ADL in the observation group were significantly better than those in the control group,the differences were statistically significant(P<0.05). Conclusion Comprehensive rehabilitation guidance model could effectively improve the rehabilitation effect of stroke patients,help patients to improve the quality of life,the curative effect was obvious,it was worthy of clinical promotion and application.
Keywords:Comprehensive rehabilitation guidance  Stroke  NIHSS score  FMA score  ADL score
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