作者：朱华1 ，田虹2 ，谢红梅3 ，苏林芳2 ，尹波2 ，刘旭生2

单位：

1.062552河北省任丘市，华北石油管理局总医院功能科　 2.062552河北省任丘市，华北石油管理局总医院 康复中医科　3.062552 河北省任丘市，华北石油管理局总医院护理部

Units：

1.Department of Functions, General Hospital of North China Petroleum Administration Bureau, Renqiu 062552, China 2.Rehabilitation Department of Traditional Chinese Medicine, General Hospital of North China Petroleum Administration Bureau, Renqiu 062552, China 3.Nursing Department, General Hospital of North China Petroleum Administration Bureau, Renqiu 062552, China

关键词：

卒中；偏瘫；国际功能、残疾和健康分类通用组合；康复

Keywords：

Stroke; Hemiplegia; International Classification of Functioning, Disability and Health common combination; Rehabilitation

CLC：

R 743 R 682.22

DOI：

10.12114/j.issn.1008-5971.2024.00.060

Funds：

河北省2021年度医学科学研究课题计划项目（20211546）

摘要：

目的　分析基于国际功能、残疾和健康分类（ICF）通用组合的针对性康复措施在脑卒中偏瘫患者中 的应用效果。方法　回顾性选取2019年7月—2021年7月华北石油管理局总医院收治的脑卒中偏瘫患者100例为研究对 象。按照所采取康复措施的不同将患者分为对照组和观察组，各50例。对照组采用常规康复措施，观察组在对照组 基础上采用基于ICF通用组合的针对性康复措施，两组均干预6个月。比较两组康复前后Fugl-Meyer运动功能评估量表 （FMA）评分、改良Barthel指数（BI）量表评分，康复后脑卒中专用生活质量量表（SS-QOL）评分，康复前后实验室 检查指标〔三酰甘油（TG）、总胆固醇（TC）、同型半胱氨酸（Hcy）、空腹血糖（FBG）水平〕。结果　康复后， 观察组FMA上、下肢运动功能评分高于对照组（P＜0.05）；对照组、观察组康复后FMA上、下肢运动功能评分分别 高于本组康复前（P＜0.05）。康复后，观察组改良BI量表评分高于对照组（P＜0.05）；对照组、观察组康复后改良 BI量表评分分别高于本组康复前（P＜0.05）。观察组康复后心理状态、社会功能、躯体功能、工作情况维度评分高于 对照组（P＜0.05）。康复后，观察组TG、TC、Hcy、FBG水平低于对照组（P＜0.05）；对照组、观察组康复后TG、 TC、Hcy、FBG水平分别低于本组康复前（P＜0.05）。结论　基于ICF通用组合的针对性康复措施可有效提高脑卒中 偏瘫患者的运动功能、日常生活活动能力、生活质量，降低脑卒中复发风险。

Abstract：

Objective To analyze the application effect of targeted rehabilitation measures based on International Classification of Functioning, Disability and Health (ICF) common combination in stroke patients with hemiplegia. Methods A total of 100 stroke patients with hemiplegia admitted to General Hospital of North China Petroleum Administration Bureau from July 2019 to July 2021 were retrospectively selected as the study objects. According to the different rehabilitation measures, the patients were divided into control group and observation group, with 50 cases in each group. The control group received routine rehabilitation measures, while the observation group received targeted rehabilitation measures based on the ICF common combination on the basis of the control group. Both groups were intervened for 6 months. Fugl-Meyer Motor Assessment (FMA) score and modified Barthel Index (BI) scale score before and after rehabilitation, Stroke Special Quality of Life Scale (SS-QOL) score after rehabilitation, and laboratory test indicators [triglyceride (TG) , total cholesterol (TC) , homocysteine (Hcy) and fasting blood glucose (FBG) levels] before and after rehabilitation were compared between the two groups. Results After rehabilitation, the FMA upper and lower limb motor function scores in the observation group were higher than those in the control group (P < 0.05) ; the FMA upper and lower limb motor function scores of the control group and observation group after rehabilitation were higher than those before rehabilitation respectively (P < 0.05) . After rehabilitation, the modified BI scale score in the observation group was higher than that in the control group (P < 0.05) ; the modified BI scale score of the control group and observation group after rehabilitation was higher than that before rehabilitation respectively (P < 0.05) . The dimension scores of psychological state, social function, physical function, and work situation in the observation group after rehabilitation were higher than those in the control group (P < 0.05) . After rehabilitation, the levels of TG, TC, Hcy, and FBG in the observation group were lower than those in the control group (P < 0.05) ; the levels of TG, TC, Hcy, and FBG in the control group and observation group after rehabilitation were lower than those before rehabilitation respectively (P < 0.05) . Conclusion Targeted rehabilitation measures based on the ICF common combination can effectively improve the motor function, daily living activities, and quality of life of stroke patients with hemiplegia, and reduce the risk of stroke recurrence.

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