脑卒中偏瘫患者早期双侧肢体康复治疗的相关研究

The correlational research of early rehabilitation training on both limbs of patients with hemiplegia after stroke

探讨早期康复治疗(患病7天内即进行康复训练)方法中,健患侧同时进行康复训练和仅对患侧进行康复训练对脑卒中患者日常生活活动能力(ADL)和运动功能(FMA)的影响。实验组均给予双侧肢体康复训练,对照组给予患侧肢体康复训练,进行临床对照研究,两组患者均常规进行神经内科药物治疗,对每例患者入组时、病程1个月时分别用改良的Barthel指数(MBI)测试ADL能力、用Fugl-Meyer运动功能评定法(FMA)评定患者的运动功能。通过两组前后比较和组间比较差异均有显著性意义(P<0.05);两组的变化均数比较,治疗组1个月ADL能力和FMA功能恢复优于对照组(P<0.05)。得出早期康复治疗方法中,双侧肢体康复治疗对脑卒中偏瘫患者的日常生活活动能力和肢体运动功能恢复的促进作用更为显著。

To investigate the effects of early rehabilitation training （the rehabilitation training within 7 days after stroke） about both limbs and only affected limb on the activities of daily living （ADL） and motor function in patients with hemiplegia after stroke. The patients were divided into two groups-the treatment group and the control group. The two groups were all given neurologic medical training; The patients in the treatment group were given the rehabilitation training about both limbs, while those in control group were given the rehabilitation training about the affected limb. The evaluation was done in pre-treatment and three months after stroke, ADL was assessed with Modified Barthel Index （MBI） and moter function was assessed with Fugl-Meyer assessment. The MBI scores in each groups and between two groups raised a significant difference （P〈0.05）, the process of the treatment group was obviously more superior than that in the control group （P〈0.05）. Early rehabilitation training about both limbs on the patient with hemiplegia after stroke may obviously improve ADL and motor function recovery.