不同时间强度康复训练对脑卒中偏瘫患者肢体功能恢复的疗效比较

Effects of Different Time Strength Rehabilitation Training on the Recovery of Limb Motor Function of Patients with Hemiplegia after Stroke

目的:研究不同时间强度康复训练对脑卒中偏瘫肢体功能恢复的临床疗效。方法:脑卒中偏瘫患者37例,分为强化组17例和常规组20例,急性期均接受内科常规治疗;病情稳定后,2组均给予针刺及肌电反馈治疗,同时进行康复训练。常规组每天训练时间40～45min,每天1次;强化组则治疗时间延长至60～80min,每天2次。结果:治疗3个月后,2组患者Fugl-Meyer和改良Barthel指数评分较治疗前有明显提高(P<0.01),与常规组比较,强化组表现更显著(P<0.05)。结论:强化康复训练对提高脑卒中偏瘫患者运动功能和生活自理能力有更大的促进作用。

Objective：To study the clinical efficacy of different time strength rehabilitation training on the recovery of limb motor function of patients with hemiplegia after stroke. Methods：Thirty-seven cases of hemiplegia after stroke were randomly divided into two groups： conventional rehabilitation training group and intensive rehabilitation training group. Fugl-Meyer assess ment （FMA） and Modified Barthel Index （MBI） scores were used to assess the limb motor function and ability of daily life （ADL） in two groups before and after treatment. Results：The limb motor function and ADL were improved significantly after treatment （P〈0.01）, and intensive rehabilitation training group was significantly superior to conventional rehabilitation training group （P〈0.05）. Conclusion：Compared to conventional rehabilitation training, intensive rehabilitation training has better effects in improving limb motor function and ADL in patients with hemiplegia after stroke.