脑血管病偏瘫患者急性期康复治疗作用的临床行为学评估

Behavioral evaluation of rehabilitation therapy on patients with acute stroke.

目的了解急性期康复治疗对脑血管偏瘫病人预后的影响。方法选择脑血管偏瘫病人急性期康复治疗组（康复组）１５０例，未实施急性期康复治疗组（对照组）１２４例。采用Ｆｕｇｌ－Ｍｅｙｅｒ和Ｂｒｕｎｎｓｔｒｏｍ法评定两组发病后３、１２个月运动功能恢复情况；采用Ｂａｒｔｈｅｌ指数评定病后两组１２个月时日常生活能力情况；追访废用综合征、脑卒中后抑郁发生率。结果在疾病恢复的近期：康复组肢体的运动功能、日常生活活动、废用综合征及抑郁症状发生率等方面均好于对照组，１２个月时Ｂａｒｔｈｅｌ指数、移动能力、活动空间等方面均优于对照组。结论急性期康复治疗能减少残疾和并发症，提高患者的运动能力和生活自理能力，改善患者的生活质量。

Objective To explore the effect of rehabilitation therapy on the prognosis of patients with acute stroke Methods 150 patients were select as rehabilitation therapy group in acute stage of stroke and 124 case which were not carried out rehabilitation therapy in actue stage served as control group. Motor function was evaluated by Fugl Meger and Brunnstron test in 3,12 month and ADL was also assessed with the Barthel index in 12 month after attack. The morbility of disuse syndrome, drepvesion aftev stroke were followed up Results the situation of recovery in rehabilitation group is better than the control group in the near and long future. Conclusion Rehabilitation therpy in actue stage of stroke can decrease disable and complication and improved the quality of living of patients.