早期康复治疗对急性脑梗死患者运动、肌痉挛及生活活动能力的影响

Effects of Early Rehabilitation on Motor Function, Spasticity and Activities of Daily Living in Patients with Acute Cerebral Infarction

目的:应用Fugl-Meyer量表、改良Ashworth量表和简化巴氏指数量表(BI)分别进行评定,探讨早期康复治疗对急性脑梗死偏瘫患者运动功能、肌痉挛及日常生活活动能力(ADL)的影响。方法:选择急性脑梗死偏瘫患者90例,随机分为康复治疗组和对照组。康复治疗组在临床药物治疗的同时进行规范的康复训练,对照组给予临床药物治疗及未经指导的自我锻炼,在患者入组时和30d后分别进行有关的功能评定,评价两组的疗效。结果:治疗前两组的一般资料、运动功能、肌痉挛与ADL的评定差异无统计学意义(P>0.05),经30d治疗后,运动能力和BI均有一定程度的改善,改善幅度康复治疗组明显优于对照组(P<0.05),肌痉挛评分康复治疗组也明显优于对照组(P<0.05)。结论:早期康复治疗有助于改善急性脑梗死偏瘫患者的运动、肌痉挛及生活活动能力。

Aim： The Fugl-Meyer scale, the modified Ashworth scale and the modified Barthel index were used to measure the function of patients with acute cerebral infarction and evaluate the influence of early rehabilitation intervention on motor function, spasticity and activities of daily living（ADL） in acute cerebral infarction patients with hemiplegia. Methods： 90 patients were divided randomly into two groups： a control group and a rehabilitation group. Patients in the rehabilitation group were given clinical treatment and regular rehabilitation training, while those in the control group were given clinical treatment and unguided self-training. The evaluation were done in pre-treatment and post-treatment after 30 days respectively. Results： The common data, motor scores, spasticity scores and ADL scores have no significant difference in the two groups pre- treatment （P〉0.05）. Though the scores of FMA and ADL in the two groups were improved after 30- day treatment, the scores in the rehabilitation group were obviously superior to those in the control group（P〈0.05）. Spasticity scores were also obviously superior to those in the control group（P〈0.05）. Conclusion： Early rehabilitation is an effective approach which can improve motor function, muscle spasticity and ADL in patients with hemiplegia after acute cerebral infarction.