规范三级康复治疗对脑卒中偏瘫患者运动功能康复的影响

Clinical study of standardized three stages' rehabilitation program in promoting motor function in stroke patients with hemiplegia

目的:探索规范的三级康复治疗对于脑卒中偏瘫患者运动功能的影响。方法:82例脑卒中患者在脑梗死和脑出血两个层次上随机分成康复组和对照组,康复组给予规范的三级康复治疗,对照组不给予规范的三级康复治疗,但是一般的常规内科治疗同康复组。结果:对照组2例死亡,康复组无死亡病例。康复组在各阶段的运动功能评分明显高于对照组(P<0.01),康复组各阶段运动功能评分积分差值明显高于对照组(P<0.01);入组时、1个月、3个月和6个月月末时康复组患者的运动功能分别相当于正常人的32.29%、51.41%、75.00%和87.31%,而对照组分别为:27.62%、34.42%、48.51%和56.13%,入组时、1个月、3个月和6个月月末时康复组患者的运动功能分别相当于对照组的116.95%、149.35%、154.60%和155.55%;1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组运动功能积分差值相当于对照组的指数分别是:2.81、2.10和1.97,1个月月末与入选时、3个月月末与入选时和6个月月末与入选时的康复组运动功能积分差值分别高于对照组:9.95、17.47和21.12分。结论:规范三级康复治疗对于脑卒中患者各阶段运动功能的提高具有明显的促进作用。

Objective：To explore the effects of standardized three stages＇ rehabilitation on the motor function in stroke patients with hemiplegia.Method：All 82 patients of primary cerebral infarction and primary cerebral hemorrhage were divided into treated group and controlled group randomly.Patients in the treated group were given standardized three stages＇ rehabilitation, while those in the controlled group were only given normal internal medicine treatments that was equal to the treated group yet without rehabilitation. Result： There were two deaths in the controlled group, none in the treated group. The motor scores of the treated group at every stage were higher than those of the controlled group （P〈0.01）,the integral margin between every stage＇s motor scores in the treated group were greater than those in the controlled group （P〈0.01）.Compared with normal people, the motor function of the treated group＇s patients were 32.29%,51.41%, 75.00% and 87.31% at the entering time, the end of 1st month, 3rd month and 6th month after stroke respectively. Comparing with that of the controlled group, they were 27.62%, 34.42%,48.51% and 56.13% separately. The patients＇ motor function of the treated group were 116.95%, 149.35%, 154.60% and 155.55% of the controlled group at the entering time, the end of 1st month,3rd month and 6th month after stroke respectively.Compared with the controlled group, the indexes of the integral margin between the scores of entering time and that of the end of 1st month,3rd month and 6th month in the treated group were 2.81,2.10 and 1.97 respectively.The margins of the treated group were higher than the controlled group by 9.95,17.47 and 21.12 marks respectively. Conclusion：Standardized Three Stages＇ Rehabilitation can promote stroke patients＇ motor function of every stage obviously.