康复训练对脑卒中偏瘫患者的康复效率与持续时间的关系

Relationship between the Duration and the Efficiency of Rehabilitation Training in Patients with Hemiplegia after Stroke

目的:探讨个体化康复训练对早期及恢复期脑卒中偏瘫患者的康复效率与训练时间的关系。方法:60例发病2～12周的脑卒中偏瘫患者在常规药物治疗的基础上进行程序化康复训练,包括桥式运动、关节活动度维持、肢体的易化、平衡、负重步行等训练。并分别于治疗初、治疗4及8周末时采用简化Fugl-Meyer运动功能量表(FMA)进行评分并做康复效率统计。结果:康复介入4周末时,患者的FMA评分较治疗初时显著提高,并明显高于治疗8周末时的评分(均P<0.01)。治疗后康复效率比较,前4周高于后4周(P<0.05)。结论:第1个周期的康复训练及康复效率明显优于第2个周期。

Objective：To investigate the relationship between the duration and the efficiency of rehabilitation training in patients with hemiplegia after stroke. Methods： Sixty patients with hemiplegia after stroke for 2 to 12 weeks were recruited in this study. All of them accepted rehabilitation training, and were assessed through simplified Fugl-Meyer motion function table and FIM separately before and at the end of 4th and 8 week. The efficiency of rehabilitation training was statistically analyzed. Results： After the rehabilitation training, the efficiency of rehabilitation at the end of 4th week was statistically higher than that at the end of 8th week （P〈0.01）. Conclusion： The efficiency of rehabilitation training at the end of 4th week was higher than that at the end of 8th week.