摘要
目的观察简单康复疗法与综合康复疗法对老年急性脑卒中患者的日常生活活动能力、神经功能缺损程度的影响。方法将78例老年急性脑卒中患者随机分为简单康复疗法组(36例)和综合康复疗法组(42例)。简单康复疗法组采用Bobath治疗;综合康复疗法组除采用Bobath治疗外,加用中药、针灸治疗,两组的疗程均为6周。治疗前、后每周对两组患者采用临床神经功能缺损程度量表(NIHSS)评定神经功能,采用改良Brathel指数(MBI)评定日常生活活动(ADL)。结果治疗3周后,两组患者的MBI、NIHSS评分均较治疗前改善,但差异无显著性意义(P>0.05);治疗6周后,综合康复疗法组的NIHSS评分与治疗前比较,差异有显著性意义(P<0.05),MBI评分与治疗前比较差异有非常显著性意义(P<0.01);简单康复疗法组的NIHSS、MBI评分虽有改善,但与治疗前比较差异无显著性意义(P>0.05)。结论综合康复疗法与简单康复疗法对老年急性脑卒中患者的ADL及神经功能康复均有一定效果,但综合康复疗法的效果优于简单康复疗法。
Objective To observe the effect of multidisciplinary rehabilitation on activity of daily living （ADL） and injured nerve function of old stroke patients. Methods 78 old stroke patients were randomly divided into the simple rehabilitation group （36 cases） and multidisciplinary rehabilitation group （42 cases）. The patients of the simple rehabilitation group were treated with Bobath method only, those of the multidisciplinary rehabilitation group were added with acupuncture and Chinese herbs. The treatment course of two groups was 6 weeks. All patients in two groups were assessed with Modified Brathel Index （MBI） for ADL before treatment and every week after treatment and the evaluation of National Institute of Health Stroke Scale （NIHSS） was also performed for injured nerve function at same times. Results After 3 weeks treatment, the scores of MBI and NIHSS of all patients improved, but there was no significant difference compared with that before treatment （P 〉0.05）. After 6 weeks treatment, the NIHSS scores of the patients in the multidisciplinary rehabilitation group was significant superior to that before treatment （ P 〈0.05）, the MBI scores was also superior to that before treatment （ P〈 0.01） ; while, the NIHSS and MBI scores of the patients in the simple rehabilitation group also improved compared with that before treatment, but no significant difference （ P 〉0.05）. Conclusion Both multidisciplinary rehabilitation and simple rehabilitation are all effect on ADL and injured nerve function of old stroke patients, but the effect of multidisciplinary rehabilitation is superior to that of simple rehabilitation （using Bobath method only）.
出处
《中国康复理论与实践》
CSCD
2007年第12期1159-1160,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
老年脑卒中
综合康复
针灸
中药
stroke in elder
multidisciplinary rehabilitation
acupuncture
Chinese herbs
