急性脑梗死早期康复治疗90例临床观察

Clinical Observation on the Early Rehabilitation of 90 Cases with Acute Cerebral Infarction

目的:探讨早期康复治疗对急性脑梗死患者偏瘫肢体功能及日常生活能力的影响。方法:180例急性脑梗死患者随机分为康复组和对照组各90例,两组患者均给予常规药物治疗,康复组给予系统的早期康复治疗,对照组自行锻炼。结果:采用修订的Barthel指数(MBI)和简式Fugl-Meyer运动功能积分法对两组进行治疗前后神经功能评定:治疗前两组评分差异无显著性(P>0.05),治疗后康复组评分明显优于对照组(P<0.05)。结论:早期康复治疗对急性脑梗死患者偏瘫肢体运动功能及日常生活能力恢复具有促进作用。

Objective： To study the effect on patients＇ hemiplegic iimb function and daily living ability after Acute Cerebral Infarction by early rehabilitation. Methods： 180 patients with acute cerebral infarction were randomly divided into recovery group 90 cases and control group 90 cases. Both groups were given routine medication the recovery group was given systematic early rehabilitation, while the control group exercise by themselves. Results： The emendation Barthel index （MBI） and simplicity Fugl-Meyer motor assessment were performed among the two groups to evaluate neurological function before and after treatment： there were no significant differences between two groups before treatment （P〉0.05）.but after treatment, the scores in the recovery group were obviously superior to those in the control group （P〈0.05）. Conclusion： Early rehabilitation has promoting effect on the motor function of hemiplegie limbs and the recovery of daily living activity of patients with acute cerebral infarction.