早期康复治疗过程中偏瘫运动模式应用临床分析

Effects of rehabilitation programs on the functional outcomes of patients in one month after stroke

目的 观察急性脑梗死患者发病 1个月内接受综合康复治疗的有效性 ,探讨起病 1个月内康复评定及其最佳运动疗法。方法 将 10 0例发病在 2周内的脑梗死患者随机分为康复A组 (5 0例 ,一般常规治疗 ,同时接受康复治疗 ,重视康复工作流程及其治疗者和患者之间的信息反馈沟通 )和治疗B组 (5 0例 ,一般常规治疗 )。采用Brunnstrom法评定脑卒中偏瘫肢体运动功能恢复阶段 ,于治疗前及治疗后评定各组患者的运动功能。结果 治疗前各组Barthel指数评定 ,差异均无统计学意义 (P >0 0 5 ) ;治疗后康复A组和治疗B组的Brunnstrom法划分阶段 ,康复治疗显著改善了痉挛模式 (P <0 0 1) ,同时提高了患者日常生活能力。结论 早期规范化的综合康复治疗可以有效地提高患者的运动功能和改善痉挛模式的出现 ,对促进患者的全面康复有积极作用。

Objective To study the effect of early systemic rehabilitation in patients in 1 month after stroke.Methods One hundred cases of acute stroke were divided into subgroup A (n=50) in which the patients received intensive rehabilitation intervention according to Brunnstrom for 1 month, concurrent with routine treatment,and subgroup B (n=50),in which the patients only got routine treatment.Results Barthel index assessment shoned no significant difference between the two subgroups before therapy (P>0.05),but after therapy Brunnstrom′s staging pointed out the subgroup A had got an obvious relief in their spasticticity (P<0.01),with an improved daily activity.Conclusion Early intensive rehabilitation therapy can effectively improve the motor function and activities of daily living (ADL) of stroke patients; the rehabilitation program of one-month after acute stroke is helpful for improving the patient′s functional independence.