早期康复训练对急性脑卒中偏瘫患者的疗效

Clinical Effect of Early Rehabilitation on Hemiplegia of the Patients with Acute Stroke

目的:探讨早期康复治疗对急性脑卒中偏瘫患者运动功能和日常生活活动能力的影响。方法:80例发病<72小时的急性脑卒中偏瘫患者随机分成康复组和对照组各40例。两组均由神经内科医师给予相同的常规药物治疗,康复组同时由康复医学科治疗师给予系统的康复训练。康复治疗前和治疗后6周分别进行欧洲卒中量表(ESS)和日常生活活动能力(ADL)评分。结果:治疗前两组评分差异均无统计学意义(P>0.05);两组治疗后ESS和ADL评分较治疗前均有显著改善,但康复组显著优于对照组,差异具有统计学意义(P<0.05)。结论:早期开展康复治疗在帮助患者偏瘫肢体的功能恢复,提高生活自理能力方面起着不可替代的作用。同时,治疗过程中不能忽视心理疾患的康复。

Objective：To investigate the effect of early rehabilitation treatment on hemiplegia of the acute stroke patients. Methods： Eighty cases of acute stroke patients with hemiplegia were randomly divided into rehabilitation group and the control group. Regular drug treatment were given to two groups, meanwhile, systemic rehabilitation training was applied to rehabilitation group. Scores of The European Stroke Scale（ESS） and Barthel Index（BI） were used to grade the patients in the two groups before and six weeks after treatment. Results： There was no significant difference in the grading between the two groups before the treatment （ P 〉 0. 05 ）. After treatment, the scores of ESS and BI in the rehabilitation group was obviously better than those in the control group（ P 〈 0.01 ）, and the difference was statistically significant（ P 〈 0.05 ）. Conclusion： Early rehabilitation treatment plays an important role in the function recovery of patients with hemiplegia and in improvement of their daily life ability. Much attention should be paid to psychical rehabilitation in the course of treatment.