目的 探讨社区二级预防与康复治疗促进卒中患者日常生活活动能力的临床效果。方法 选取从2015年1月到2016年7 月社区门诊参加康复治疗的125例卒中患者做为研究对象。按照治疗先后顺序分为干预组62例与对照组63例，对照 组患者给予常规内科治疗控制病情，干预组患者在常规内科治疗控制病情基础上结合社区二级预防与康复治疗。比 较两两组患者的复发情况及治疗前后患者日常生活活动能力变化情况。结果 干预组患者的复发情况显著低于对照 组患者，差异具统计学意义(P＜0.05)。干预组患者治疗后日常生活活动能力改善情况显著优于对照组，差异具统 计学意义(P＜0.05)。结论 对于卒中患者在常规内科治疗控制病情的基础上，通过社区二级预防与康复治疗，可显 著改善患者日常生活活动能力，降低复发率，值得临床广泛推广应用。

Objective To investigate the clinical effect of two grade prevention and rehabilitation community to promote the activities of daily living in patients with stroke. Methods 125 cases of stroke patients from January 2015 to July 2016 in community outpatient rehabilitation treatment as the object of study. According to the order of treatment were divided into intervention group 62 cases and control group 63 cases, control group patients were given routine medical treatment to control the disease, patients in the intervention group treatment to control the disease on the basis of the two grade prevention and rehabilitation in the community routine. The changes of activities of daily living in patients before and after treatment were compared between the 22 groups. Results The recurrence rate of intervention group were significantly lower than the control group, the difference was statistically significant (P<0.05). The patients in the intervention group after treatment, the improvement of ADL was significantly better than the control group, the difference was statistically significant (P<0.05). Conclusion The basis for the treatment of stroke patients to control the disease in the routine, through two levels of community prevention and rehabilitation treatment, can significantly improve the activities of daily living of patients, reduce the recurrence rate, worthy of clinical popularization and application.