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规范化三级康复治疗对脑卒中患者认知功能的影响

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目的:探究规范化三级康复治疗对脑卒中患者认知功能的影响.方法:选取2022年7月—2024年3月哈尔滨二四二医院收治的90例脑卒中患者作为研究对象,按照随机数表法将其分为对照组和康复组,每组各45例.对照组患者接受常规康复治疗,康复组患者接受规范化三级康复治疗.比较两组患者临床疗效,神经、认知功能[美国国立卫生研究所的卒中量表(NIHSS)、简易智力状态检查量表(MMSE)],肢体和生活能力[Fugl-Meyer运动功能评价法(FMA)、日常生活能力量表(ADL)]情况.结果:康复组患者的治疗总有效率明显高于对照组,差异有统计学意义(x2=4.939,P<0.05).治疗后,康复组患者NIHSS评分低于对照组、MMSE评分高于对照组,差异有统计学意义(t=12.470、15.318,P<0.05).治疗后,康复组患者FMA、ADL评分均高于对照组,差异有统计学意义(t=4.011、8.516,P<0.05).结论:为脑卒中患者实施规范化三级康复治疗方案的效果确切,可以显著提高患者的神经和认知功能,改善其生活质量.
Effect of Standardized Three-stage Rehabilitation Therapy on Cognitive Function of Stroke Patients
Objective:To analyze the effect of standardized three-level rehabilitation therapy on stroke patients.Methods:90 patients with cerebral apoplexy were selected from Harbin 242nd Hospital and divided into control group(conventional rehabilitation treatment)and rehabilitation group(standardized three-level rehabilitation treatment)with random number table.The clinical efficacy,neurological and cognitive function[National Institutes of Health Stroke Scale(NIHSS),Simple Mental State Examination Scale(MMSE)],limb and life ability[Fugl-Meyer Motor Function Assessment Method(FMA),Ability of Daily Living Scale(ADL)]were compared between the two groups.Results:The total effective rate of rehabilitation group was significantly higher than that of control group,and the difference was statistically significant(x2=4.939,P<0.05).After treatment,the NIHSS score of the rehabilitation group was lower than that of the control group,and the MMSE score was higher than that of the control group,with statistically significant difference(t=12.470,15.318;P<0.05).After treatment,FMA and ADL scores in the rehabilitation group were higher than those in the control group,and the differences were statistically significant(t=4.011,8.516;P<0.05).Conclusion:The effect of standardized three-level rehabilitation treatment for stroke patients is accurate,which can promote the improvement of various functions of patients and can be popularized in clinical practice.

Standardized three-level rehabilitation treatmentStrokeCognitive function

赵英子、王嘉怡

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哈尔滨二四二医院,黑龙江 哈尔滨 150066

规范化三级康复治疗 脑卒中 认知功能

2024

黑龙江医学
中华医学会黑龙江分会

黑龙江医学

影响因子:0.714
ISSN:1004-5775
年,卷(期):2024.48(19)