早期康复对脑卒中后运动及认知功能的影响

Effect of Early Rehabilitation on Motor and Cognitive Function of Hemiplegia after Stroke

目的研究早期康复对脑卒中后运动及认知功能的影响。方法107例脑卒中偏瘫患者随机分为康复组(51例)和对照组(56例),均进行神经内科常规药物治疗,康复组加以正规早期康复治疗。两组患者分别在进入课题研究时和3个月后测试Bathel指数(BI)、FuglMeyer评定(FMA)分、简明精神状态检查(MMSE)分。结果治疗3个月后,康复组BI、FMA、MMSE积分均较治疗前改善(P<0.05);对照组BI、FMMS积分也较治疗前改善(P<0.05);BI、FMMS、MMSE积分在两组间有显著性差异(P<0.05)。结论正规早期康复对脑卒中患者3个月后的运动及认知功能后遗症有明显的改善作用。

Objective To study the effect of early rehabilitation on disability of motion and cognition. Methods 107 patients were randomly divided into two groups, rehabilitation group （51 cases） and control group （56 cases）. Patients in rehabilitation group were given regular early rehabilitation, while all patients in both groups were given usual clinical treatment. The Barthel Index （BI）, Fugl-Meyer Assessment （FMA）, Mini-mental Status Examination （MMSE） were used to evaluate these two groups before and 3 months after treatment. Results After treatment, the scores of BI, FMA and MMSE were improved significantly （P 〈 0.05） in rehabilitation group compared with that before treatment, so did that of BI, FMA in control group （P 〈 0.05）. The scores of BI、FMMS、MMSE in rehabilitation group improved significantly compared with that in control group （P 〈 0.050. Conclusion Early rehabilitation may obviously improve the motive and cognitive function and increase the quality of living of hemiplegia after stroke.