急性脑梗死偏瘫患者早期康复的临床研究

Effect of early rehabilitation in hemiplegia of cerebral infarction

目的探讨早期康复对急性脑卒中患者功能恢复的影响。方法100例急性脑梗死偏瘫患者随机分为两组,两组均给予常规药物治疗,康复组(50例)患者生命体征稳定,神经学症状不再发展1周后康复治疗。2月后评价治疗结果。结果康复组运动功能、神经功能缺损、日常生活能力(ADL)的改善均优于对照组(50例),两组有显著差异(P<0.01)。结论现代康复治疗对急性脑梗死偏瘫的功能恢复有明显的促进作用。

Objective To explore the effect of early rehabilitation in hemiplegia of cerebra infarction. Methods 100 cases of hemiplegia patients who sufered from cerebral infarction were randomly divided into two groups,50 cases in the early rehabilitation group and trained with Clayton methodology,2 month as a course;50 cases in the control group without rehabilitation practice. At the end of the course,test was done of the two groups respectively with the evaluation point of clinical neurological defects,simple Fugl-Meyer Assessment （FMA）,modified Barthel index （MBI） at the beginning and the end （2 month） of the course. Results After treatment,the evaluation point of clinical neurological defects in the early rehabilitation group is much lower than that in the control group（P〈0.01）. The point of FMA and MBI increased markedly, compared to the control group （P〈0.01）. Conclusion Early rehabilitation practice can markedly significantly improve the recovery of limbs function,decrease disabilities ,and improve daily activities.