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Curative effect evaluation study on prognosis of acute stroke patients carrying out early comprehensive rehabilitation training |
Zhu Xueli |
Neurology Department of People′s Hospital of Cixi City in Zhejiang Province, Cixi 315300, China |
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Abstract Objective To explore the effect of prognosis of acute stroke patients carrying out early comprehensive rehabilitation training, and the risk factors of prognosis outcome of stroke. Methods One hundred and twenty patients with acute stroke were randomly divided into control group (n=60) and treatment group (n=60). The control group was carried out normal treatment, and the intervention group was given early comprehensive rehabilitation training measures on the basis of the control group. The indexes of total effective rate were compared between the two groups, and risk factors of not good outcome of prognosis were screened with multiple factors analysis method. Results After 3 months rehabilitation treatment, the total effective rate in the treatment group was 91.7%, much higher than the control group (76.7%, P<0.05). Multiple factors analysis result showed that age (OR=1.745), hypertension (OR=3.931), cerebral arteriostenosis (OR=5.302), late visit (OR=2.366), without carrying out early rehabilitation training (OR=8.207) and NIHSS score (OR=2863) were the risk factors of unfavourable prognosis of stroke. Conclusion Carrying out early comprehensive rehabilitation training measures for acute stroke patients might obviously raise clinical curative effects. There are many independent risk factors affecting the prognosis of stroke patients, so we should formulate effective preventive measures to aim directly at these risk factors.
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Received: 29 April 2015
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[1] 高咏红, 曲丽, 田晶, 等.早期康复训练对急性脑卒中患者预后的影响[J].中国临床研究,2010,23(4):339-340. [2] 司霞.早期干预对脑卒中后抑郁患者功能康复的影响[J].中国实用神经疾病杂志,2012,15(16):15-16. [3] 中华医学会第四次全国脑血管病学术会议. 对脑卒中临床研究工作的建议[J].中华神经精神科杂志,1996,29(6):379. [4] 李庆芬.早期康复护理对急性脑卒中患者预后的影响[J].中国医药科学,2012,2(6):102-104. [5] 李江涛,程希富,秦志红.早期康复训练对脑卒中预后的积极作用[J].中国实用神经疾病杂志,2013,16(4):90-91. [6] 宋健雄.早期预防卒中后抑郁对急性脑卒中患者康复的影响[J].实用心脑肺血管病杂志,2010,18 (8):1111-1112. [7] 刘代红.脑卒中常见并发症的护理[J].军医进修学院学报,2007,28(2) :113. [8] 杨志宏,王彦丽,刘海萍,等.早期康复护理对脑卒中患者功能预后的影响[J].河北医药,2011,33(10):1594-1595. [9] 柴雪艳,姜稳妮,范丹.脑卒中急性期康复训练对预后的影响[J].中国实用神经疾病杂志,2011,14(1):96. [10]王东生,谢瑞满,吴亦影,等.脑卒中康复治疗远期预后相关多因素分析[J].中华物理医学与康复杂志,2006,28(3):181-183. [11]Greenberg JA. Removing confounders from the relation ship between mortality risk and systolic blood pressure at low and moderately in creased systolic blood pressure[J]. J Hypertens, 2003,21(1):49-56. [12]曹莉梅,杨期明,刘小军,等.进展性缺血性脑卒中预后影响因素分析[J].脑与神经疾病杂志,2010,18(1):62-64. |
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