脑卒中患者恢复期社区康复治疗模式

目的 探讨三甲医院联合基层医院对恢复期脑卒中患者干预治疗的模式及其效果.方法 选择2015年3月至2017年2月经昆明医科大学第一附属医院康复科治疗出院后脑卒中患者119例, 随机分为联合治疗组61例和对照组58例, 接受不同模式康复治疗6个月, 采用FMA和BI指数评定康复效果.结果 2组患者治疗后, FMA和BI指数较治疗前均明显改善 (P<0.05) , 联合治疗组的改善效果明显优于对照组 (P<0.05) .结论三甲医院联合基层医院对患者进行管理的康复模式更有利于脑卒中患者的康复, 值得临床推广应用.

A Study of Treatment Model on Community-based Rehabilitation among Patients with Cerebral Apoplexy during the Recovery Period

Objective To discuss the model and the effects of intervention treatment among patients with cerebral apoplexy during the recovery period in the primary and tertiary hospitals. Methods From Mar. 2015 to Feb. 2016, we selected 119 patients with cerebral apoplexy cured in our department and randomly divided them into two groups: 61 cases in the combined treatment group and 58 cases in the control group. After 6-month treatment, the effects were evaluated using FMA and BI index. Results FMA and BI indexes of patients with cerebral apoplexy improved significantly after the treatment (P <0.05) . The effect of using the combined treatment is better than that of the control group (P<0. 05) . Conclusion The recovery model performed in the primary hospital together with the tertiary hospital is beneficial to the recovery of patients with cerebral apoplexy and worthy to generalize.