急性脑卒中偏瘫患者康复干预的重要性

Evaluation of rehabilitation intervention on cerebral apoplexy hemiplegics patients

目的探讨综合康复干预对脑卒中偏瘫患者运动功能及日常生活能力的影响。方法选择86例急性脑卒中偏瘫患者，随机分为康复组43例和对照组43例，康复组除接受常规药物治疗外采用综合康复干预的方法，6个月后采用运动功能评分（FMA）、日常生活活动能力评分（ADL）评定其疗效。结果6个月后FMA值康复组为14±4，对照组为11±5，两组比较各阶段的恢复是均衡的，康复组明显优于对照组。结论康复治疗对偏瘫患者运动功能和日常生活活动能力具有良好的促进作用，可明显降低患者的依赖程度，提高其生存质量。

Objective To study the effect of rehabilitation in hemiplegics after stroke. Methods Eighty - six patients were randomly divided into two groups,rehabilitation group 43 cases and control group 43 cases. The intervention group patients accepted rehabilitation guidance. After six months motor function was assessed in fugl - meyer assessment（FMA）,aetiveities of daily living（ADL）was assessed in Barthelg index. Results The scores between groups had a significant difference （ P 〈 0.05 ）. The process of scores in the rehabilitation group were obviously su- perior to those in the control group （ P 〈 0.05 ）. Conclusion Rehabilitation training on hemiplegies after stroke may obviously improve motor function and ADL, decrease the disability and increase the quality of living.