【摘要】 目的探讨早期康复对老年脑卒中患者日常生活活动(ADL)能力的影响。方法采用改良Barthel指数(MBI)对发病4周内的老年(46例)及非老年(32例)脑卒中患者在康复治疗不同阶段的ADL能力进行评定比较。结果①老年康复组及对照组的各项ADL能力在入组时无显著性差异。入组1月末,老年康复组的修饰、穿衣能力优于对照组(P<0.05);入组3月末,除二便控制及洗澡、进食能力外,老年康复组的其他ADL能力均优于对照组(P<0.05)。②老年康复组的小便控制、转移及步行能力在入组时较非老年康复组低下(P<0.05);入组1月末,老年康复组的用厕、步行、穿衣及上下楼梯能力仍较非老年康复组显著低下(P<0.05);入组3月末,2组的各项ADL能力无显著性差异。结论早期康复有利于改善多数老年脑卒中患者的ADL能力。更多还原

【Abstract】 Objective To investigate the effects of early rehabilitation on activities of daily living(ADL)for elderly patients with stroke.Methods The ADL of 46 elderly and 32 non-elderly post-stroke patients(<4 weeks)were assessed and compared with modified Barthel index(MBI)at the different stages of rehabilitation.Results ①There was no significant difference in all items of ADL between two groups of the elderly on admission.The rehabilitation group of the elderly were significantly higher than those of the control group(P <0.05)in grooming and dressing 1 month after treatment,and in all items of ADL except bladder/bowel control,bathing and eating 3 months after intervention.②The rehabilitation group were significantly lower than those of the non-elderly(P <0.05)both in bladder control,moving and walking on admission,and in toilet using,walking,dressing and waking up and down steps 1 month after treatment.But there was no significant difference in all items between the two groups 3 months after intervention.Conclusions Rehabilitation training is useful for improving most of ADL in the elderly patients with stroke.更多还原