Clinical Observation Of Community-based Rehabilitation For Stroke Patients

Objective: stroke (Stroke) as one of common chronic disease, with a highmortality rate, high recurrence rate and high disability rate and other characteristics, is aserious impact on the quality of human life and life of the disease, the aging of thepopulation in China increased, its incidence rate is rising year by year, and the incidenceof stroke was gradually younger trend. Along with raising the level of diagnosis andtreatment, stroke mortality rates have declined, but morbidity is still in70-80%. Manystroke patients after the acute period after treatment, some patients withoutrehabilitation, part of patients with spontaneous recovery, causing them to havedifferent degrees of movement function and other aspects of the dysfunction, whichseriously affects the quality of life of patients, families and society and to bring heavyburden, the paper mainly observed through formal rehabilitation training of patientswith cerebral stroke, community rehabilitation.Methods: community stroke patients126patients were divided into rehabilitationgroup66cases and control group60cases, control group only accepted the generalroutine drug treatment, rehabilitation group in the conventional drug therapy on thebasis of formal rehabilitation guidance, take the families and patients to participate inthe way of rehabilitation therapy. Two groups of patients using a questionnaire and callthe financial department inpatient billing details ways, collected from patients withdirect medical costs and indirect medical costs, comparing the two groups of patientswith associated costs. In two groups before treatment, treatment for8weeks,12weeks,24weeks in the Fugl-Meyer motor function score (FMA) and functionalcomprehensive assessment scale (FCA) assessment of curative effect.Results: the two groups of patients with total cost of hospitalization,hospitalization, daily expense of daily cost comparison, there were no significantdifferences between them (P>0.05), two groups of patients outside the hospital total cost comparison, the difference was statistically significant (P <0.05). From the degreeof neural function defect found, at baseline and8weeks,12weeks,24weeks in theevaluation, control group score gradually decreased, reduced from21.7until17.5, butonly in the12week and in this group,24week and8weeks when comparing thedifference was statistically significant (P <0.05). The rehabilitation group in8weeks,12weeks and24Zhou Shijun significantly lower, the difference was statisticallysignificant (P <0.05), and the comparison between the evaluation of the differenceswere statistically significant (P <0.05).8weeks after treatment, two groups of patients with FMA score were improved,but the rehabilitation group and the control group was no significant difference (P>0.05), treatment for12weeks,24weeks after the FMA score between the two groupswas statistically significant (P <0.01). Treatment for8weeks,12weeks,24weeks intwo groups of FMA score increased gradually, treatment for8weeks compared withbefore treatment, the difference was statistically significant (P <0.05), treatment for12weeks,24weeks compared with before treatment had a significant difference (P <0.01),but the control group was treated with the therapy of812weeks week of no significantdifferences (P>0.05), while the patients in the rehabilitation group for12weeks and8weeks of treatment had a significant difference (P <0.01).Two groups of patients before treatment, after the FCA total score comparisonTreatment for8weeks,12weeks,24weeks treatment in two groups of FCA scoreincreased gradually, for8weeks,12weeks and24weeks of treatment compared withbefore treatment differences were statistically significant (P <0.05), the control grouptreated for12weeks with8weeks of treatment is part of the project had no significantdifference (P <0.05), the rehabilitation group for24weeks,12weeks and8weeks oftreatment had significant differences (P <0.01).From18small score can be seen in control group after24weeks of rehabilitationafter take a shower and social intercourse two relatively difficult to restore, followed bythe up and down the stairs and to solve the problem of recovery is poor, the rest of thebasic normal; rehabilitation group patients with comprehensive function returned tonormal, while the control group patients have mild dysfunction; rehabilitation aftertreatment for24weeks group than in the control group exercise function scoreimproved15%, cognitive function score improved32%. Rehabilitation exercise,cognitive function recovery than the control group. Conclusion:1.community rehabilitation with "low investment, wide coverage" advantage,promotion of appropriate rehabilitation techniques, satisfy the basic needs ofrehabilitation in patients with.2.community rehabilitation training can improve the motor function of the patientswith stroke and integrated functions, and improve the degree of neural function defect,improve the self-care ability of daily life plays an important role in.