早期康复治疗脑卒中临床研究

Clinical study on the rehabilitation of cerebral apoplexy in the forepart

目的:观察脑卒中早期介入康复对患者功能康复的影响。方法:脑卒中患者230例,随机分为治疗组和对照组,其中治疗组138例,对照组92例。两组均同时常规接受中西医结合治疗,而治疗组则在患者生命体征平稳后依据不同情况即介入包括功能训练、语言康复和醒脑开窍针刺为主的康复治疗。每日1～2次。结果:采用临床神经功能缺损评分,Fugl-Meyer运动功能评分(FMA)和修订的巴氏指数(MBI)评分,对2组进行治疗前后评分显示,治疗前2组评分差异均无显著性(P>0.05);治疗后治疗组各项指标明显优于对照组(P<0.05);两组临床疗效评定,治疗组和对照组比较疗效差异有显著性(P<0.01)。结论:脑卒中早期介入康复疗法可杜绝或减轻废用综合征的发生,缩短康复疗程,使病人的残存机能恢复至最大,减轻功能障碍。

Objective: To observe the effect of intervening rehabilitating therapy in the early time to the recovery of function of cerebral apoplexy. Methods: 230 cases of cerebral apoplexy were randomly divided into a treatment group(138) and a control group(62) .Two groups were both treated with traditional treatment,and the treatment group was treated also with function practice, language rehabilitation and acupuncturing head points in the safe period. 1- 2 times each day. Results: Scoring with Fugl- Meyer (FMA) and MBI, there was no significant difference before experiment ( P > 0.05) , while the score in the treatment group was obviously higher than that in the control group ( P < 0. 05). The curative effect was also remarkable (P < 0.05). Conclusion: Intervening rehabilitating therapy in the forepart of cerebral apoplexy can shorten the period of treatment, mitigate damage to the patients.