脑出血早期康复的临床疗效观察

Effect of early rehabilitative training on cerebral hemorrhage

目的:探讨早期康复治疗对急性脑出血患者偏瘫功能恢复的作用。方法:将186例急性脑出血患者随机分成康复组93例,对照组93例,两组均常规使用内科药物治疗,康复组加以早期康复治疗,比较患者治疗前和治疗1月后的Barthel指数和简式Fugl-Meyer评价法评分。结果:两组治疗前Fugl-Meyer值及Barthel指数测评差异有统计学意义(P>0.01(,两组治疗1月后Fugl-Meyer值及Barthel指数测评康复组与对照组比较有统计学意义(P<0.001)。结论:早期康复训练对急性脑出血患肢运动功能恢复和日常生活活动能力具有促进作用,可明显降低患者运动功能障碍程度。

Objective： To observe the effect of early rehabilitative training on cerebral hemorrhage. Methods： 186 patients with acute cerebral hemorrhage were randomly divided into two groups： intervention group （93 patients ） and control group （93 patients ）. All the patients were given routine neurological treatment. Patients in intervention group were additional given rehabilitative training while patients in control group not. The＇scores of Barthel index and Fugl-Meyer reassessment of all the patients were assessed before training and after one month. Results： The scores of Barthel index and Fugl-Meyer reassessment in all the patients had no different before training. But the scores of intervention group and control group were significantly different（P〈0.001 ） after training. Conclusions： Combined early rehabilitative trainin~ could improve function and living, quality in stroke patients.