规范的三级康复治疗对急性脑卒中偏瘫患者神经功能恢复的影响

Effects of standardized three-stage rehabilitation on recovery of neurological function in stroke patients with hemiplegia

目的 探索规范的三级康复治疗对于卒中偏瘫患者神经功能的影响。方法 脑卒中患者 5 2例在脑梗死和脑出血 2个层次上随机分成康复组和对照组 ,每组 2 6例 ,康复组给予规范的三级康复治疗 ,对照组不给予规范的三级康复治疗 ,一般的常规内科治疗两组相同。分别于入选时及发病后第 1、3、6个月月末采用临床神经功能缺损程度评分标准进行评测。结果 康复组在入选后各阶段的评分明显低于对照组 (均P <0 0 0 1) ,康复组入选后各阶段神经功能评分积分差值明显高于对照组(均P <0 0 0 1) ;入组时及治疗后 1、3、6个月时康复组患者的神经功能的积分分别相当于总分的5 1%、34%、18%和 8% ,而对照组分别为 5 8%、5 4 %、4 2 %和 37% ;入组时与治疗后 1、3、6个月月末的康复组神经功能积分差值相当于总分的百分数分别为 17%、33%和 4 3% ,而对照组则分别为 5 % ,16 %和 2 1%。

Objective To explore the effects of standardized three stages′ rehabilitation on the neurological function in stroke patients with hemiplegia Methods All 52 patients firstly are brought into two blocks: primary cerebral infarction and primary cerebral hemorrhage then are divided into treated group and controlled group randomly Patients in the treated group are given Standardized Three Stages′ Rehabilitation, while those in the controlled group are only given normal internal medicine treatments that are the same as the treated group but without Standardized Three Stages′ Rehabilitation All patients would be assessed with the scale of Clinical Neurological Function Defects (CNFD) at the entering time, the end of 1st month, 3rd month and 6th month respectively after stroke Results The scores of the treated group are lower than those of the controlled group( P <0 001)at every stage, the margins between every stage's scores in the treated group are greater than those in the controlled group( P <0 001) The scores of the treated group's patients are about 51%、34%、18% and 8% of total scores at the entering time, the end of 1st month,3rd month and 6th month after stroke differently, but that of the controlled group are about 58%, 54%, 42% and 37% of total scores differently The margins between the scores of entering time and that of the end of 1st month、3rd month and 6th month in the treated group are 17%, 33% and 43% of total scores respectively, but that of the controlled group are about 5%, 16% and 21% of total scores differently Conclusion Standardized three stages′ rehabilitation could promote stroke patients′ motor function of every stage obviously