Abstract
Effect of Regular Follow up on Neurological Function and Social Function in Patients With Cerebral Infarction at Convalescence Stage
  
DOI:
EN KeyWords: cerebral infarction  convalescence stage  follow up study  neurological function  social function
Fund Project:陕西省中医管理局中医药科研(15-jc024);陕西省自然科学基金(2017SF-245);西安市科技局社会发展引导计划(2017118SF/YX012)
作者单位
闫俊 西安市第五医院神经内科西安 710082 
朱葛敏 西安市中心医院神经内科西安 710003 
刘道申 西京医院神经内科西安 710032 
叶楠 西安市第五医院神经内科西安 710082 
高亚亚 西安市第五医院神经内科西安 710082 
刘立平 西安市第五医院神经内科西安 710082 
曹团平 西安市第五医院神经内科西安 710082 
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EN Abstract:
  Objective: To investigate whether the regular follow up of hospital staff has an effect on the recovery of neurological function and the improvement of social function in patients with cerebral infarction at convalescence stage. Methods: A total of 151 cases of acute ischemic stroke admitted to our department and discharged from the hospital after treatment were randomly divided into an observation group (n=74) and a control group (n=77). The medical staff followed the weekly follow up according to the self made follow up process after discharge, and the control group was not followed up. After 3 months and 1 year, two groups were evaluated by modified Rankin score (mRS) and social function scale (FAQ). Results: There were no statistically significant differences between the two groups in the mRS score, the FAQ score and the rate of social dysfunction after 3 months; and the mutilation rate in the observation group was significantly lower than that in the control group (P<0.05). One year later, the mRS score, disability rate, FAQ score and social activity dysfunction rate in the observation group were significantly lower than those in the control group (P<0.05), and also significantly lower than those in the three months in both groups (P<0.05, 0.01). Conclusion: The medical staff regular follow up outside the hospital can promote the recovery of neurological function and social function in patients with cerebral infarction. The recovery of social function is slower than that of nerve function.
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