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黄美玲,王玉龙,王 尧.康复医学专科医疗联合体中脑卒中患者康复疗效的同质化研究[J].中国康复医学杂志,2017,(6):618~623
康复医学专科医疗联合体中脑卒中患者康复疗效的同质化研究    点此下载全文
黄美玲  王玉龙  王 尧
深圳市第二人民医院(深圳大学第一附属医院)
康复医学科,深圳,518035
基金项目:国家“十二五”科技支撑课题(2011BAI08B11)
DOI:
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摘要:
      摘要 目的:探究在康复医学专科医疗联合体中,脑卒中患者接受不同医疗单位的康复治疗,其疗效是否受到影响。 方法:2012年10月12日—2016年2月5日纳入深圳市第二人民医院康复专科医联体深圳市第二人民医院(三级医院组)、深圳市南澳人民医院和深圳宝兴医院(二级医院组)及深圳市协康残疾人康复服务中心福田分部(社区组)脑卒中患者183例。根据脑卒中发病时间分为恢复期及后遗症期,3组患者均进行为期4周的脑卒中康复训练,包括肢体功能康复训练、功能性电刺激训练、日常生活活动能力训练,使用Fugl-meyer运动功能评定量表(FMA)、简式Fugl-meyer平衡功能评定量表(FMB)、美国国立卫生研究院卒中量表(NIHSS)及改良Barthel指数评分表(MBI)分别评定康复治疗前后运动功能、平衡功能、神经功能缺损程度及日常生活活动能力。 结果:治疗后各组的FMA、FMB、NIHSS以及MBI评分与组内治疗前相比均有显著改善(P<0.05),治疗后各组FMA、FMB、NIHSS及MBI评分组间比较无显著性差异(P>0.05)。 结论:在康复治疗方案统一的基础上,康复专科医联体内各医院脑卒中患者可达到康复治疗的同质化疗效。
关键词:脑卒中  医疗联合体  康复治疗技术  同质化
A study on the homogeneity of the therapeutic effect on stroke patients in rehabilitation Medical Association    Download Fulltext
The Second People's Hospital of Shenzhen, Shenzhen, 518035
Fund Project:
Abstract:
      Abstract Objective:To investigate the therapeutic effect of stroke patients received rehabilitation treatment at different medical units in the Rehabilitation Medical Association. Method:Totally 183 stroke patients were recruited from October 12,2012 to February 5,2016 by Shenzhen Rehabilitation Medical Association(SRMA).SRMA consists of 4 members, including the Second People’s Hospital of Shenzhen,Shenzhen Nan’ao People’s Hospital, Shenzhen Baoxing Hospital and Community Healthcare Center in Futian District, which belong to tertiary hospital, secondary hospital, and primary healthcare unit, respectively.According to the time of onset of stroke, all the patients were divided into recovery phase or sequelae phase. The rehabilitation facilities were standardized. All patients received rehabilitation treatment for 4 weeks, which included functional rehabilitation training of limb,functional electrical stimulation training,activities of daily living training. Fugl-Meyer Assessment(FMA), balance subscale of the Fugl-Meyer test(FMB), National Institute of Health Stroke Scale(NIHSS) and modified Barthel Index(MBI) before and after rehabilitation treatment were used to evaluate the effects. Result:The scores of FMA, FMB, NIHSS and MBI were significantly improved in all the groups after rehabilitation treatment(P<0.05).There was no significant difference in all assessments among the groups(P>0.05). Conclusion: Based on the standardized rehabilitation treatment programs, the stroke patients come from the members of Rehabilitation Medical Association can achieve homogeneous effects after rehabilitation treatment.
Keywords:stroke  Medical Association  rehabilitation treatment technology  homogeneity
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