早期康复治疗对脑卒中患者运动功能影响的研究

Clinical Study on The Early Rehabilitation in the patients with Acute Cerebral Stroke

目的 探讨早期康复治疗对脑卒中患者运动功能的影响。方法 采用运动疗法、作业疗法及电疗法等综合康复治疗。将 98例脑卒中偏瘫患者随机分为治疗组和对照组各 4 9例。结果 FugL -Meyer运动功能 (FMA)评价 ;治疗组治疗前为 6 .32± 4 .6 7,治疗后 2 5 .36± 4 .75 ;对照组治疗前 6 .38± 5 .83,治疗后 11.6 6±5 .6 2 ,两组治疗前后比较差异有显著性。治疗前两组间比较差异无显著性 (P >0 .0 5 ) ,治疗后两组间比较 ,治疗组运动功能恢复明显优于对照组 (P <0 .0 1)。结论 早期康复治疗可以防止和减轻废用综合征的产生 ,促进功能恢复 。

Objective To investigate the effect of early rehabilitation on motor function of the patients with acute cerebral stroke induced hemiplegia.methods 98 cases of acute cerebral stroke were randomly divided into rehabilitation group and control group (n=49 in each group).The patients in the rehabilitation group received clinical treatment electric stimulation therapy (EST) and regularly physical therapy .Results Before and after treatment, the FMA scores in the rehabilitation group were 6.32±4.67 and 25.36±4.75 respectively,and 6.38±5.83 and 11.65±5.62 respecticely in the control group . There was no significant difference between the two groups before the treatment(P>0.05).After treatment,the recovery of motor ability in the rehabilitation group was more satisfactory than in the ontrol group (P<0.01).Conclusion Early rehabilitation could prevent and mitigate disuse syndrome,promote function recovery and improve the dailylike ability.