【摘要】 目的研究脑卒中疾病患者在社区医疗结构中接受三级康复干预的临床效果。方法抽取2014年9月—2015年9月在该社区医院就诊的脑卒中疾病患者88例,将其随机分为对照组和观察组,平均每组44例。对照组实施常规脑卒中干预;观察组实施三级康复干预。比较两组患者干预前后日常生活活动能力的MBI和FMA评分的改善幅度、对脑卒中疾病社区康复干预计划的满意度、在社区康复治疗期间出现的不良反应例数。结果观察组治疗后MBI评分、FMA评分分别为(82.05±5.31)分、(69.19±6.75)分,均明显优于对照组(64.59±5.86)分、(53.68±6.93)分,差异有统计学意义(P<0.05);对脑卒中疾病社区康复干预计划的满意度达到95.5%,高于对照组的79.6%,差异有统计学意义(P<0.05);在社区康复治疗期间仅有1例不良反应出现,少于对照组的9例,差异有统计学意义(P<0.05)。结论脑卒中疾病患者在社区医疗结构中接受三级康复干预,可以迅速改善患者的日常生活活动能力,减少不良反应的发生,使患者转归更加理想。更多还原

【Abstract】 Objective This paper tries to study the clinical effect of tertiary rehabilitation intervention on the community medical structure of stroke patients. Methods 88 cases with stroke disease in this community from September 2014 to September 2015 were selected and randomly divided into the control group and observation group, with 44 cases in each group. The control group received routine stroke intervention; the observation group received tertiary rehabilitation, MBI and FMA improvement degree, satisfaction degree of the community planning and adverse events during community rehabilitation of community stroke patients of the two groups were compared before and after intervention. Results MBI score, FMA score of the observation group after treatment were(82.05 ±5.31)points and(69.19 ±6.75)points,were significantly better than the control group of(64.59±5.86)points and(53.68±6.93)points, the difference was significant(P<0.05); satisfaction with disease intervention on stroke rehabilitation in community planning of the observation group reached 95.5%, higher than that of control group of 79.6%, so difference was significant(P<0.05); there was only1 case of adverse events during the period of community rehabilitation in the observation group, fewer than the control group of 9 cases, the difference was significant(P<0.05). Conclusion Tertiary rehabilitation intervention can improve patients’ capability of daily activities, reduce the occurrence of adverse events, and make the prognosis more satisfactory.更多还原