康复开始早晚对脑卒中偏瘫患者四种活动能力影响的研究

Study of the Influence on Hemipl egic Patients Treated with Rehabil itation Medicine Sooner or Later

本文将１８０例脑卒中偏瘫患考分为Ａ、Ｂ两组。Ａ组为发病后１个月内接受康夏治疗的患者，Ｂ组为发病后２－３个月内接受康复治疗的患者。治疗前两组患者活动能力的四个方面（Ⅰ—床上活动、Ⅱ一轮椅活动、Ⅲ一室内步行、Ⅳ一室外步行）无显著差异（Ｐ＞０．０５）。治疗后活动能力变化的分析结果表明：治疗后Ａ组Ⅰ、Ⅱ级比例一降及Ⅲ、Ⅳ级比例上升的趋势明显优于Ｂ组（Ｐ＜０．０５），由此说明，较早地康复介入将有利于脑卒中偏瘫患者活动能力的提高。

hemiplegic patients following stroke were devided into two groups一一group A andgroup B for this study. Rehabilitation treatment started for the patients in group A in one month,yet forthose in group B in two or three months after onset of the stroke. Compared the conditions of the twogroups of patients before their rehabilitation treatment,there was no obvious difference(P<0.05)in thefour aspects of their motor ability(Ⅰ-activity in bed;Ⅱ-aclivity in wheel-chair;Ⅲ-in-ward;Ⅳ-outdoor activity).While the result of analysis on their post-treating shift of motor ability showed that thetrend,which the proportion of patients with ability Ⅰ andⅡ decreased but the proportion of patients withability Ⅲ and Ⅳ increased,was more significant in group A than in group B(P<0.05).Thereby it indicatesthat the early starting of rehabilitation treatment is favourable for improving motor ability of hemiplegic pa-tients following stroke.