综合康复治疗对急性脑血管病肢体功能的影响

Effects of comprehensive medical rehabilitation for extremity motor function in ACVD

采用肌电生物反馈及经皮神经电刺激疗法，配合肢体被动功能训练，对６８例急性脑血管病患者进行早期康复干预。采用Ｂｒｕｎｎｓｔｒｏｍ法、Ｌｅｖｅｅｔ肌力６级法、关节活动范围等进行肢体功能综合评定，结果发现患者肢体运动功能明显改善，总有效率分别为９０％和６１．１％，两者间有显著差异（Ｐ＜０．０１）。说明早期康复干预对急性脑血管病肢体运动功能的恢复有相当重要的作用。治疗效果与治疗开始时间、治疗技术、病人的意识状态及主动参与程度有关。

Using electromyographic biofeedback or transcutaneous electrical nerve stimulation (TENS) training approach combined with passive limbs movement, 68 patients with acute cerebral vasscular disease(ACVD) were treated. The Brunnstrom and Leveets methods were employed for the assessment of the functional status. The results showed the extremity motor function were improved significantly. The effective rates were 90% and 61 1% respectively. The difference was significant (P<0 01). It indicated early rehabilitation intervention for extremity motor functional recovery in ACVD plays a considerable important role. It suggested that the effect is directly related to time of rehabilitation treatment, the numbers of biofeedback and skills of training, mental status of the patients and so on. Authors address: Department of Rehabilitation Medicine, Shanghai Changzheng Hospital, Shanghai, 200003