| 崔立军,胡永善,沈国光,张安蒙,章亚萍,陈惠芳,沈炜珍,郑 钢,于健君,徐一鸣,陈 颖.社区三级康复改善脑卒中患者神经功能的疗效观察[J].中国康复医学杂志,2009,24(9): |
| 社区三级康复改善脑卒中患者神经功能的疗效观察 点此下载全文 |
| 崔立军 胡永善 沈国光 张安蒙 章亚萍 陈惠芳 沈炜珍 郑 钢 于健君 徐一鸣 陈 颖 |
| 复旦大学附属华山医院康复医学科，复旦大学上海医学院康复医学系，上海市乌鲁木齐中路12号，200040 |
| 基金项目：上海市卫生局科研基金资助项目(2008局级85)；上海市闸北区卫生局科研基金资助项目(2007重点16) |
| DOI： |
| 摘要点击次数: 2753 |
| 全文下载次数: 2099 |
| 摘要： |
| 目的：探讨社区三级康复改善脑卒中患者神经功能的疗效。方法：将49例脑卒中患者按社区随机分为康复组和对照组，康复组在常规内科治疗的基础上给予规范的社区三级康复治疗，对照组给予常规内科治疗，没有进行规范的社区康复治疗。分别在入组时和第2个月末进行临床神经功能缺损程度（NIM）评定。结果：规范的社区三级康复治疗2个月后，康复组患者的临床神经功能缺损程度评分平均降低了3.26分，对照组平均降低了1.08分，康复组患者改善程度显著优于对照组（P<0.01）。结论：社区三级康复治疗可显著改善脑卒中患者神经功能缺损程度，促进神经功能的恢复。 |
| 关键词：社区三级康复 随机对照 脑卒中 神经功能 |
| Effects of community-based tertiary rehabilitation on improving neural function of stroke patients Download Fulltext |
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| Dept. Of Rehabilitation, Huashan Hospital，Fudan University，Shanghai，200040 |
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| Abstract: |
| Objective:To investigate the effects of community-based tertiary rehabilitation on improving neural function of stroke patients. Method:Forty-nine patients were enrolled, and randomly divided into two groups according to their community. Those in rehabilitation group were administered community-based tertiary rehabilitation in addition to routine interventions of internal medicine,while those in control group were only given the routine ones,without standard community-based rehabilitation. All the patients were assessed with clinical neural impairment measure scale (NIM) at the enrolling time and the end of 2 months. Result:There was no significant difference between the two groups in NIM scores at the enrolling time. However, 2 months later, NIM scores decreased by 3.26 in rehabilitation group,while 1.08 in control group, the differences were significant between the two groups(P<0.01). Conclusion: Community-based tertiary rehabilitation could significantly improve the neural function of stroke patients. |
| Keywords:community-based tertiary rehabilitation randomized controlled trial stroke neural function |
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