早期康复训练对脑卒中病人运动功能恢复的研究

An investigation on early stage rehabilitation exercise to promote motor function recovery in patients with cerebral apoplexy

[目的 ]探讨早期康复训练对脑卒中病人运动功能恢复的影响。 [方法 ]选择 2 0 0 3年 1月— 2 0 0 4年 1月住院治疗的 90例脑卒中病人 ,随机分成两组 ,康复组 (4 5例 )接受常规医疗与康复训练 ,对照组 (4 5例 )只接受常规医疗护理。两组病人均在发病后 1周内和 4周时各评价 1次运动功能 (FMA )和日常生活活动能力 (ADL)。 [结果 ]康复组与对照组治疗前FMA和ADL评分比较差异无统计学意义 (P >0 .0 5 ) ,治疗后FMA和ADL差异有统计学意义 (P <0 .0 1)。[结论 ]早期康复训练可促进脑卒中病人运动功能和日常生活能力的恢复。

Objective: to probe into early stage rehabilitation exercise to promote motor function recovery in patients with cerebral apoplexy. Method: a total of 90 cases cerebral apoplexy inpatients were selected and divided into two groups randomly, who were admitted in hospital from January 2003 to January 2004. Patients in rehabilitated group were given rehabilitation exercise besides routine therapy, while patients in control group were only given routine therapy. All the patients were evaluated on their motor function (FMA) and activities of daily life (ADL) both within the first week and the fourth week after onset of illness. Result: there is no difference in terms of FMA and ADL scoring before therapy between the two groups (P>0.05). However, there were statistical differences after treatment between the two groups in terms of FMA and ADL scoring (P<0.01). Conclusion: it showed that early stage rehabilitation exercise promote the recovery of motor function of patients with cerebral apoplexy.