Abstract:Objective To explore and analyze the effects of comprehensive rehabilitation therapy on cognitive function and motor function in patients with acute stroke. Methods Ninety cases of patients with acute stroke treated in Liaocheng People's Hospital from May 2014 to May 2016 were selected, they were divided into control group and observation group by random number table, with 45 cases in each group. The control group was given routine rehabilitation therapy, and the observation group was given comprehensive rehabilitation therapy. The scores of mini-mental state examination (MMSE), Fugl-Meyer motor scale (FM) and Barthel index (BI) in the two groups were compared. Results After treatment for 1, 3 months, the scores of MMSE, FM and BI in the two groups were all higher than those before treatment, with statistically significant differences (all P < 0.05). After treatment for 3 months, the scores of MMSE, FM and BI in the two groups were all higher than those after treatment for 1 month, with statistically significant differences (all P < 0.05), and the scores of indexes above in the observation group were all higher than those of control group, with statistically significant differences (all P < 0.05). Conclusion Comprehensive rehabilitation therapy can improve the cognitive function and motor function of patients with acute stroke, with high safety.
李铮 刘阳 孙国剑 . 综合康复治疗对急性脑卒中患者认知功能及运动功能的影响[J]. 中国医药导报, 2017, 14(26): 106-108,125.
LI Zheng LIU Yang SUN Guojian. Effects of comprehensive rehabilitation therapy on cognitive function and motor function of patients with acute stroke. 中国医药导报, 2017, 14(26): 106-108,125.
[1] 张颖冬,李雪萍,林强,等.脑卒中急性规范化康复方案对患者认知功能和运动功能的影响[J].中国康复医学杂志,2014,29(10):123-124.
[2] 赵建国,高长玉,顼宝玉,等.脑梗死和脑出血中西医结合诊断标准[J].中国中西医结合杂志,2006,26(10):980-981.
[3] Sullivan KJ,Tilson JK,Cen SY,et al. Fugl-Meyer assessment of sensorimotor function after stroke:standardized training procedure for clinical practice and clinical trials [J]. Stroke,2011,42(2):427-432.
[4] 张通.中国脑卒中康复治疗指南(2011完全版)[J].中国医学前沿杂志:电子版,2012,4(6):55-76.
[5] 高明月,杨珉,况伟宏,等.简易精神状态量表得分的影响因素和正常值的筛查效度评价[J].北京大学学报:医学版,2015,47(3):23-24.
[6] 陈瑞全,吴建贤,沈显山.中文版Fugl-Meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报,2015,50(4):90-91.
[7] 黄晓琳,陆敏,喻澜,等.Barthel指数对脑卒中患者住院康复效果的预测[J].中国康复,2003,18(3):20-21.
[8] 高春华,黄杰,王盛强,等.早期综合康复治疗对急性脑卒中患者功能重建的影响[J].神经损伤与功能重建,2014, 9(5):123-124.
[9] 杜玉光.急性脑卒中偏瘫患者早期疗效观察[J].中国实用神经疾病杂志,2012,15(6):58-59.
[10] 毛杰,杨相凤.早期康复训练对脑出血偏瘫患者功能的影响[J].海南医学院学报,2013,19(3):90-91.
[11] 唐云,凌峰.110例脑出血偏瘫患者康复护理干预后运动功能恢复效果观察[J].中国医药导报,2012,9(36):10-11.
[12] 邱金玉.应用护理干预对脑出血偏瘫患者生活质量的影响研究[J].长江大学学报:自然版,2014,11(36):345-346.
[13] Cumming TB,Churilov L,Linden T,et al. Montreal cognitive assessment and mini-mental state examination are both valid cognitive tools in stroke [J]. Acta Neurol Scand,2013,128(2):122-129.
[14] King A,McCluskey A,Schurr K. The time use and activity levels of inpatients in a co-located acute and rehabilitation stroke unit:an observational study [J]. Top Stroke Rehabil,2011,18(Suppl 1):654-665.
[15] 凌丽梅,麦晓雯,陈彩凤,等.延续性康复护理指导对脑梗死病人脑功能恢复的影响[J].护理研究,2013,27(7):2122-2124.
[16] 茹立良,王志梅,刘升辉,等.中西医结合康复治疗脑卒中临床实践的研究现状[J].世界中医药,2015,10(12):1987-1991.
[17] 汪晗.针药并用联合康复训练治疗急性脑卒中偏瘫的有效性分析[J].环球中医药,2017,10(2):228-230.
[18] 李小莹,薛盼,刘涛,等.早期规范化康复训练对急性脑卒中患者预后的疗效观察[J].成都医学院学报,2016, 11(1):73-75.
[19] Duffy L,Gajree S,Langhorne P,et al. Reliability(inter-rater agreement)of the Barthel Index for assessment of stroke survivors:systematic review and meta-analysis [J]. Stroke,2013,44(2):462-468.
[20] 陈佩玲,章亚平,叶国芬,等.早期运动康复训练对脑卒中肢体功能障碍患者的干预效果及肢体功能恢复分析[J].中国现代医生,2016,54(36):98-101,105.
[21] 刘卫华.超早期康复护理模式在脑卒中偏瘫患者中的应用[J].中外医学研究,2015,13(23):86-87.
[22] 许将.在卒中病房实施康复团队模式早期干预的康复效果分析[J].西部中医药,2015,28(12):86-88.
[23] 崔长富,谷娟,李转会,等.综合康复治疗对急性脑卒中后吞咽障碍及卒中相关性肺炎的影响[J].新乡医学院学报,2015,32(8):90-91.
[24] 熊晓辉,王秀容.良肢位摆放护理对急性脑卒中患者康复的影响[J].成都医学院学报,2015,10(4):519-521.
[25] 刘宣,王美玲.综合康复治疗缺血性脑卒中偏瘫患者的康复效果观察[J].中国实用神经疾病杂志,2016,19(8):123-124.
[26] 张黎珍.缺血性脑卒中患者实施早期康复护理效果观察[J].西部中医药,2015,28(1):87-89.
[27] 刘琴,娄继友.早期综合康复锻炼对急性脑卒中患者临床疗效的影响[J].中华神经医学杂志,2015,14(5):23-24.