早期康复治疗对老年卒中患者预后的影响

目的探索早期康复治疗对老年脑卒中患者预后的影响。方法入选2008年1月至2010年11月收治的急性脑卒中患者150例,其中康复组80例,对照组70例,对所有患者在入院24h内及入院后21d、35d采用神经功能缺损评分(NIHSS)评定其肢体运动功能状态;于治疗后35d采用Barthel指数(BI)评定其日常生活活动能力,同时统计其并发症及住院费用。结果康复组的肢体功能缺损评分在治疗后明显低于对照组(P<0.05),BI评分明显高于对照组(P<0.05),而其并发症及住院费用明显低于对照组(P<0.05)。结论早期康复治疗可以明显促进卒中患者肢体功能的恢复,增强患者的自理能力,减少并发症的产生,减轻患者负担,对老年患者是有效和安全的。

Effect of early rehabilitation treatment on prognosis of old patients with acute stroke

Objective To explore the effect of early rehabilitation treatment on prognosis of old patients with acute stroke. Methods The 150 patients with acute stoke from Neurology Ward in our hospital from Jan 2008 to Nov 2010 were randomly divided into rehabilitation group (80 cases) and control group (70 cases). Both groups received the medication and nutrition therapy, but the rehabilitation group received rehabilitation therapy. All the patients were used the NIHSS to evaluate their limbs movement function at admission, after 21 days and after 35 days. Meanwhile, the patients were applied with Barthel Index(BI) to evaluate the ability of activities of daily living after 35 days. Furthermore, complications and the hospitalization expense were gathered. Results The scores on limbs movement function in the rehabilitation group were significantly lower than those of control group (P<0.05)and the scores on BI in the rehabilitation group were significantly higher than those of control group(P<0.05), however, complications and the hospitalization expense were significantly lower in the rehabilitation group. Conclusions The early rehabilitation therapy can increase the recover of limbs movement function, strengthen the self management ability, reduce the complications and the expense burden. It was safe and effective for the old patients of acute stroke.