脑卒中患者早期康复治疗临床分析

Effect of early rehabilitation training on patients with stroke

目的:探讨脑卒中患者早期康复治疗的临床效果。方法:将116例脑卒中患者随机分为两组,早期康复组患者(58例)病情稳定后2～10d内开始康复训练指导及相应的康复训练;对照组(58例)按神经内科常规治疗方法应用降纤、抗凝、抗血小板及营养脑神经等药物进行治疗,于病情稳定后3周进行康复指导及康复训练。两组患者分别于入院时、入院后2、4和8周,采用BARTHEL指数评定法进行日常生活活动能力评分,并比较两组评分结果。结果:早期康复组BARTHEL指数评分高于对照组,差异有显著意义(t=2.738～4.568,P<0.05)。结论:现代康复医疗技术有利于提高脑卒中患者康复质量。早期康复指导及康复训练能使患者日常生活能力有明显的改善,康复实施的时间越早效果越好。

Objective：To investigate the clinical effects of early rehabilitation training on patients with stroke. Methods： One hundred and sixteen patients with stroke were divided randomly into group A（n = 58） and group B（ n = 58）, patients in group A underwent early rehabilitation training in 2 - 10 d after the episode when the condition was stable; patients in group B underwent rehabilitation training 3 weeks later after the episode when the condition was stable, and conventional treatment including administration of defibrase, anticoagulant, antiplatelet drugs and nutritional agents of neuron were implemented before the rehabilitation training. BARTHEL index score was used for the assessment of capability of daily living activities at times of admitted to hospital, 2, 4 and 8 weeks after hospitalization, and the results between two groups were compared. Results： BARTHEL index score of patients in group A was significant higher than group B （t = 2. 738 - 4. 568, P 〈 0.05）. Conclusion ： Modem medical technology of rehabilitation is conducive to improve the quality of rehabilitation for patients with stroke. Early rehabilitation may markedly improve the daily living ability of the patients; the earlier the implementation of rehabilitation the better the effect.