【摘要】：目的:明確早期康復(fù)臨床路徑聯(lián)合康復(fù)方案對(duì)缺血性腦卒中患者日常生活活動(dòng)能力、運(yùn)動(dòng)功能的影響,為腦卒中早期康復(fù)臨床路徑的優(yōu)化和推廣提供數(shù)據(jù)支持。方法:符合納入標(biāo)準(zhǔn)的缺血性腦卒中患者286例,隨機(jī)分為臨床路徑組(n=143)和常規(guī)康復(fù)組(n=143)。臨床路徑組入組后進(jìn)入腦卒中早期康復(fù)臨床路徑及相應(yīng)的康復(fù)治療方案,常規(guī)康復(fù)組采取一般康復(fù)治療,不進(jìn)入臨床路徑,對(duì)康復(fù)治療內(nèi)容及時(shí)間不做要求。分別于入組前和臨床路徑介入后第三周末(即出院時(shí))采用改良Barthel指數(shù)(modified Barthel index,MBI)和Fugl-Meyer運(yùn)動(dòng)功能評(píng)分量表(Fugl-Meyer motor assessment scale,FMA)評(píng)估兩組患者的日�；顒�(dòng)能力和運(yùn)動(dòng)功能。結(jié)果:臨床路徑組康復(fù)治療前后的MBI差值、MBI改善程度((MBI后-MBI前)(/100-MBI前)×100%)均顯著高于常規(guī)康復(fù)組,差異有顯著性意義(P0.05)。兩組患者康復(fù)治療前后FMA差值及FMA改善程度([FMA后-FMA前)/(100-FMA前)×100%]比較差異無顯著性意義(P0.05)。結(jié)論:早期康復(fù)臨床路徑結(jié)合規(guī)范化的康復(fù)方案能提高缺血性腦卒中患者的日常活動(dòng)能力的恢復(fù)。
[Abstract]:Objective: to clarify the effect of early rehabilitation clinical pathway combined with rehabilitation scheme on daily living ability and motor function of patients with ischemic stroke, and to provide data support for the optimization and popularization of clinical pathway of early rehabilitation of cerebral apoplexy. Methods: 286 patients with ischemic stroke were randomly divided into clinical pathway group (n 鈮，

本文編號(hào)：2518157