摘要
目的探析对急性脑梗死患者实行卒中单元超早期康复方法的治疗效果。方法选取2015年8月至2017年8月本院的94例急性脑梗死患者为研究对象，并将研究对象随机分为观察组和对照组两组，对照组47例患者行常规治疗方法，观察组47例患者行卒中单元超早期康复治疗，分析对比两组患者住院时间、并发症、Barthel指数、NIHSS评分以及治疗效果。结果对照组患者的平均住院时间为（19．9±6．8）d，显著长于观察组的（12．4±8．6）d，差异有统计学意义（P〈0．05）。两组患者治疗后主要出现口眼歪斜、运动功能不全、意识障碍、视力障碍等并发症，观察组出现并发症9例，显著低于对照组的23例，差异有统计学意义（P〈0．05）。两组患者治疗前Barthel指数比较差异无统计学意义（P〉0．05），观察组治疗后Ba瓶e1指数为（72．33±17．54），显著高于对照组的（56．44±12．49），两组比较差异有统计学意义（P〈0．05）。两组患者治疗前NIHSS评分比较差异无统计学意义（P〉0．05），观察组治疗后NIHSS评分为（2．45±1．03），显著低于对照组的（7．89±2．87），两组比较差异有统计学意义（P〈0．05）。观察组患者完全治愈23例、明显有效14例、有效7例、无效3例，总有效率为78．72％（37／47），显著高于对照组的38．30％（18／47），差异有统计学意义（P〈0．05）。结论对于急性脑梗死患者的治疗，卒中单元超早期康复是一种经济、有效、安全的治疗方法，值得临床广泛推广应用。
Objective To explore the therapeutic effect of early stroke unit rehabilitation therapy for patients with acute cerebral infarction. Methods From August 2015 to August 2015, 94 cases of acute cerebral infarction of our hospital were selected as the research object, and were randomly divided into observation group and control group. 47 patients in the control group received the routine treatment, 47 patients in the observation group received the super early stroke unit rehabilitation therapy. Analyzed hospitalization time, complications, Barthel index, NIHSS score, and therapeutic effect of the two groups. Results The average hospitalization time in the observation group was （12.4±8.6）d, significantly shorter than （19.9±6.8）d in the control group, with statistically significant difference （P〈0.05）. The complications such as facial paralysis, motor dysfunction, disturbance of consciousness, visual impairment occurred in the two groups after the treatment, there were 9 cases of complications in the observation group and 23 cases of complications in the control group, with statistically significant difference （P〈0.05）. There was no statistically significant difference in Barthel index between the two groups before the treatment （P〉0.05）; Barthel index in the observation group after the treatment was （72.33±17.54）, significantly higher than （56.44±12.49） in the control group, with statistically significant difference （P〈0.05）. There was no statistically significant difference in NIHSS score between the two groups before the treatment （P〉0.05）; NIHSS score in the observation group after the treatment was （2.45±1.03）, significantly lower than （7.89±2.87） in the control group, with statistically significant difference （P〈0.05）. There were 23 completely cured cases, 14 obviously effective cases, 7 effective cases, 3 ineffective cases in the observation group, with the total effective rate of 78.72% （37/47）, significantly higher than 38.30% （18/47） in the control group, with statistically significant difference （P〈0.05）. Conclusion Early stroke unit rehabilitation therapy in the treatment of patients with acute cerebral infarction is an economical, effective and safe treatment method, which deserves to be widely used in clinic.
作者
姜春蕾
Jiang Chunlei(Dongchangfu People＇s Hospital of Liaocheng City, Liaocheng 252000, Chin)
出处
《国际医药卫生导报》
2018年第11期1651-1654,共4页
International Medicine and Health Guidance News
关键词
卒中单元超早期康复
急性脑梗死
治疗效果
Early stroke unit rehabilitation therapy
Acute cerebral infarction
Treatment effect
