摘 要
脑卒中作为全球范围内导致成人残疾的主要原因之一，其康复训练对改善患者功能预后至关重要。本研究旨在探讨系统化康复训练方案对脑卒中患者运动功能、日常生活活动能力及生活质量的影响。选取某三甲医院神经内科2019年1月至2021年12月收治的300例脑卒中患者为研究对象，按照随机数字表法分为观察组和对照组各150例，对照组接受常规护理，观察组在常规护理基础上实施包含物理治疗、作业治疗、言语治疗等多学科协作的个性化康复训练方案。经过为期3个月的干预，采用Fugl - Meyer运动功能评定量表、Barthel指数、SF - 36生活质量量表进行评估，结果显示观察组患者运动功能、日常生活活动能力评分均显著高于对照组，生活质量各项指标也明显优于对照组，差异有统计学意义（P＜0.05）。本研究创新性地构建了多学科协作的个性化康复训练模式，为脑卒中患者的康复提供了新的思路与方法，有助于提高康复效果，减轻家庭和社会负担。
关键词：脑卒中康复；多学科协作；个性化康复训练
Abstract
Stroke is one of the leading causes of adult disability worldwide, and rehabilitation training plays a crucial role in improving functional outcomes for patients. This study aimed to investigate the effects of a systematic rehabilitation training program on motor function, activities of daily living (ADL), and quality of life in stroke patients. A total of 300 stroke patients admitted to the neurology department of a tertiary hospital from January 2019 to December 2021 were selected as research subjects and randomly divided into an observation group and a control group, each consisting of 150 cases. The control group received routine care, while the observation group underwent an individualized rehabilitation training program based on routine care, which included multidisciplinary collaboration such as physical therapy, occupational therapy, and speech therapy. After a three-month intervention, assessments were conducted using the Fugl-Meyer Assessment for motor function, the Barthel Index for ADL, and the SF-36 Quality of Life Scale. The results showed that the observation group had significantly higher scores in motor function and ADL compared to the control group, and all quality of life indicators were also markedly better, with statistically significant differences (P 0.05). This study innovatively developed a personalized rehabilitation training model based on multidisciplinary collaboration, providing new approaches and methods for stroke rehabilitation, which can enhance recovery outcomes and alleviate the burden on families and society.
Keywords: Stroke Rehabilitation；Multidisciplinary Collaboration；Individualized Rehabilitation Training
目 录
引言 1
一、脑卒中康复训练的背景与意义 1
（一）脑卒中的流行病学特征 1
（二）康复训练在脑卒中治疗中的地位 2
（三）研究方案设计的必要性 2
二、康复训练方案的设计与实施 2
（一）康复训练方案的核心内容 2
（二）方案实施的具体流程与方法 3
（三）影响康复训练效果的关键因素 3
三、康复训练方案的效果评估方法 4
（一）效果评估指标的选择与定义 4
（二）数据收集与分析的技术手段 4
（三）评估结果的可靠性与有效性 5
四、康复训练方案的实际效果分析 5
（一）患者功能恢复的具体表现 5
（二）康复训练对生活质量的影响 5
（三）不同患者群体的效果差异分析 6
结 论 6
致 谢 8
参考文献 9
脑卒中作为全球范围内导致成人残疾的主要原因之一，其康复训练对改善患者功能预后至关重要。本研究旨在探讨系统化康复训练方案对脑卒中患者运动功能、日常生活活动能力及生活质量的影响。选取某三甲医院神经内科2019年1月至2021年12月收治的300例脑卒中患者为研究对象，按照随机数字表法分为观察组和对照组各150例，对照组接受常规护理，观察组在常规护理基础上实施包含物理治疗、作业治疗、言语治疗等多学科协作的个性化康复训练方案。经过为期3个月的干预，采用Fugl - Meyer运动功能评定量表、Barthel指数、SF - 36生活质量量表进行评估，结果显示观察组患者运动功能、日常生活活动能力评分均显著高于对照组，生活质量各项指标也明显优于对照组，差异有统计学意义（P＜0.05）。本研究创新性地构建了多学科协作的个性化康复训练模式，为脑卒中患者的康复提供了新的思路与方法，有助于提高康复效果，减轻家庭和社会负担。
关键词：脑卒中康复；多学科协作；个性化康复训练
Abstract
Stroke is one of the leading causes of adult disability worldwide, and rehabilitation training plays a crucial role in improving functional outcomes for patients. This study aimed to investigate the effects of a systematic rehabilitation training program on motor function, activities of daily living (ADL), and quality of life in stroke patients. A total of 300 stroke patients admitted to the neurology department of a tertiary hospital from January 2019 to December 2021 were selected as research subjects and randomly divided into an observation group and a control group, each consisting of 150 cases. The control group received routine care, while the observation group underwent an individualized rehabilitation training program based on routine care, which included multidisciplinary collaboration such as physical therapy, occupational therapy, and speech therapy. After a three-month intervention, assessments were conducted using the Fugl-Meyer Assessment for motor function, the Barthel Index for ADL, and the SF-36 Quality of Life Scale. The results showed that the observation group had significantly higher scores in motor function and ADL compared to the control group, and all quality of life indicators were also markedly better, with statistically significant differences (P 0.05). This study innovatively developed a personalized rehabilitation training model based on multidisciplinary collaboration, providing new approaches and methods for stroke rehabilitation, which can enhance recovery outcomes and alleviate the burden on families and society.
Keywords: Stroke Rehabilitation；Multidisciplinary Collaboration；Individualized Rehabilitation Training
目 录
引言 1
一、脑卒中康复训练的背景与意义 1
（一）脑卒中的流行病学特征 1
（二）康复训练在脑卒中治疗中的地位 2
（三）研究方案设计的必要性 2
二、康复训练方案的设计与实施 2
（一）康复训练方案的核心内容 2
（二）方案实施的具体流程与方法 3
（三）影响康复训练效果的关键因素 3
三、康复训练方案的效果评估方法 4
（一）效果评估指标的选择与定义 4
（二）数据收集与分析的技术手段 4
（三）评估结果的可靠性与有效性 5
四、康复训练方案的实际效果分析 5
（一）患者功能恢复的具体表现 5
（二）康复训练对生活质量的影响 5
（三）不同患者群体的效果差异分析 6
结 论 6
致 谢 8
参考文献 9
