综合康复治疗对脑卒中患者运动功能障碍的疗效

Effect of comprehensive rehabilitation therapy on movement function of stroke patients

目的探讨综合康复治疗对脑卒中患者运动功能障碍的疗效。方法121例急性脑卒中患者随机分为康复组(59例)与对照组(62例),康复组采用综合康复治疗(运动再学习和Bobath疗法);对照组给予一般康复治疗,如针灸、理疗。采用临床神经功能缺损评分、改良巴氏指数评分(MBI)、FuglMeyer运动功能评分(FMA)在治疗前后对两组患者进行评定。结果治疗前,两组患者的临床神经功能、FMA和MBI评分无显著性差异(P>0.05);治疗后,两组的评分均较治疗前明显改善(P<0.01),但康复组改善的程度大于对照组(P<0.05)。结论综合康复治疗可促进脑卒中患者运动功能的恢复,对预后有良好影响。

Objective To investigate the effect of comprehensive rehabilitation therapy on movement function of stroke patients. Methods 121 cases of acute stroke were randomly divided into the rehabilitation group （n=59） and control group （n=62）. Patients of the rehabilitation group were treated with Bobaths and motive relearning method. Cases of the control group were treated with ordinary rehabilitation. All patients were assessed by the clinical neural function-defect assessment, concise Fugl-Meyer assessment （FMA） and modified Barthel index （MBI）. Results The scores of the clinical neural function-defect assessment set, FMA, and MBI of two groups were not different before treatment （ P 2〉0.05） , while there was a significant improvement after treatment （ P〈0.01）, and scores of the rehabilitation group was significantly higher than that of the control group. Conclusion Comprehensive rehabilitation therapy can facilitate the function recovery, and gain a good functional prognosis to the stroke patients.