脑卒中发病初期与中后期介入康复训练对偏瘫预后的影响

Effect of rehabilitation training on the prognosis of hemiplegia at early and middle to late period after the episode of stoke

目的:观察偏瘫患者开展康复时间不同对患者功能恢复及预后的影响。方法:将48例脑卒中患者根据开始康复的时间分为早期康复组(发病后10～30d开始康复)和后期康复组(发病后3～6个月开始康复)。两组一般治疗与康复治疗均相同,采用全国残疾人康复办公室制的肢体残疾康复训练档案的训练评估表,在康复治疗的早期(治疗前)、中期(治疗1个月)、末期(治疗2个月)对3个领域13个项目进行整体评估计分。结果:初次评估早期康复组为(7.82±1.57)分,后期康复组为(7.33±1.77)分,两组比较差异无显著性意义(t=0.1734,P>0.05),末次评估早期康复组为(20.18±2.84)分,后期康复组为(14.60±2.92)分,两组比较差异有非常显著性意义(t=6.119,P<0.01)。结论:早期与后期康复比较,早期康复促进脑卒中偏瘫患者运动功能、生活自理能力、社会适应能力的恢复的效果更为显著。

AIM:To observe the effect of rehabilitation at different period on the functio nal recovery and prognosis of hemiplegic patients. METHODS:Forty-eight stroke patients were divided into early rehabilitation gr oup(started rehabilitation 10-30 days after episode) and late rehabilitation gr oup (started rehabilitation 3-6 months after episode)according to the time that they began to receive rehabilitation. Patients in both groups received the same general and rehabilitation treatment,and they were evaluated with the 13 items among 3 fields in the training evaluation sheet of limb disability rehabilitativ e training record, which was drawn up by the National Disable Convalescence Offi ce at the early(before treatment),middle(1 month after treatment)and late(2 mont hs after treatment)period of rehabilitation,respectively. RESULTS:The score of the first evaluation in the early rehabilitation group wa s 7.82±1.57,not significantly different from that in the late rehabilitation gr oup(7.33±1.77)(t=0.173 4, P >0.05), while there was significant difference in t he score of the last evaluation between the two groups (20.18±2.84 vs 14.60±2. 92)(t=6.119,P< 0.01). CONCLUSION:Compared with late rehabilitation, early rehabilitation can improve the motor function, self-care ability and social adjustment ability more signi ficantly.