老年脑卒中早期与晚期康复训练对偏瘫预后的影响

Effect of Early and Late Rehabilitation Exercise on the Hemiplegia Prognosis in Elderly Patients with Stroke

目的:观察老年脑卒中患者介入康复时间的不同与功能恢复的关系。方法:48例脑卒中患者根据开 始康复训练时间的不同分为早期组(发病7-30d)33例和晚期组(发病3-6个月)15例。2组一般治疗与康复治 疗方法均相同。治疗前及治疗1、2个月时均进行FIM评定。结果:FIM评定在治疗前2组比较差异无显著性意 义;治疗2个月后,早期组显著优于晚期组。结论:早期与晚期康复均可明显促进患者偏瘫肢体运动功能恢复,但 临床疗效早期康复优于晚期。

Objective: To observe the relationship between different starting time of rehabilitation and functional rehabilitation. Methods: Forty-eight cases of stroke patients were divided into early group (started at 7-30 days after onset) and late group (started at 3-6 months after onset). Both groups received the same routine treatment and rehabilitation treatment, FIM scales were evaluated before, one and two months after treatment respectively . Results: FIM scales of the two groups showed no significant difference before rehabilitation. But compared with the late group, there was significant improvement in the early group. two groups two months after rehabilitation (P<0.01). Conclusion: Early or late rehabilitation can promote recovery of movement; however early rehabilitation was more effective compared to late rehabilitation.