首页|基于医联体的社区强化康复训练治疗急性脑梗死的效果观察

基于医联体的社区强化康复训练治疗急性脑梗死的效果观察

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目的 在医联体模式框架下,探究社区强化康复训练治疗急性脑梗死患者的康复效果.方法 选取 2021 年1 月—2023 年 6 月经医联体内二、三级医院诊断为首发急性脑梗死,病情稳定后转回本中心康复治疗的 68 例患者为研究对象,按随机数字表法将其分为对照组与观察组,每组 34 例.对照组采用常规康复治疗,观察组在对照组的基础上采用基于医联体的强化康复治疗.比较两组患者的康复情况.结果 治疗 2 个月后,两组Fugl-Meyer运动功能评定量表中的上肢与下肢运动功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组改良Barthel指数量表评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组健康调查简表中的生理功能、精神健康及社会功能评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05).结论 在医联体模式下,社区强化康复训练治疗对急性脑梗死患者的治疗效果良好,患者的肢体活动能力和生活自理能力均有明显改善,可以辅助患者恢复自理能力,提高其生活质量.
Therapeutic Effect of Community-Based Intensive Rehabilitation Training for Acute Cerebral Infarction Based on the Medical Treatment Combination
Objective To investigate the therapeutic effect of community-based intensive rehabilitation training for acute cerebral infarction based on medical treatment combination.Methods 68 patients diagnosed with first-stage acute cerebral infarction in second and third-level hospitals in the medical association from January 2021 to June 2023 who were transferred back to our center for rehabilitation after their condition was stable were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 34 cases in each group.The control group received conventional rehabilitation treatment,and the observation group received intensive rehabilitation treatment based on the medical combination.The recovery of the two groups were compared.Results After 2 months of treatment,the motor function scores of upper and lower limbs in Fugl-Meyer motor function rating scale in both groups were higher than be-fore treatment,and the observation group were higher than the control group,the differences were statistically significant(P<0.05).The improved Barthel Index score in both groups was higher than before treatment,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The scores of physiological function,mental health and social function in the two groups were higher than before treatment,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).Conclusion Based on the medical treatment combina-tion,the implementation of community-based intensive rehabilitation training treatment for patients with acute cerebral infarc-tion is effective,and the patients'limb motor function and daily life ability are significantly improved,which can assist the pa-tients in restoring their self-care ability and improving their quality of life.

Acute cerebral infarctionMedical treatment combinationCommunity-based rehabilitation

刘星、许友贤

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上海市徐汇区华泾镇社区卫生服务中心全科,上海 200231

急性脑梗死 医联体 社区康复治疗

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SHXH202017

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(5)
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