早期运动疗法对脑梗死偏瘫患者康复效果的观察

Observation to the Recovery Effect of Early Kinesitherapy on Patients with Hemiplegia of Cerebral Infaction

目的:探讨早期运动对脑梗死偏瘫患者肢体功能及生活能力的影响。方法:选择脑梗死偏瘫患者167例,随机为观察组(85例)和对照组(82例),2组均常规进行神经内科药物治疗,观察组加以运动疗法,分别于治疗前及治疗后1个月和3个月测评患者肢体运动功能(FMA)和日常生活活动能力(MBI,采用Barthel指数)。结果:2组治疗前后比较差异有显著性意义(P<0.05);2组的变化均数比较,观察组1个月和3个月FMA评分和MBI能力恢复优于对照组,其治疗效果比较有显著的临床意义(P<0.01)。结论:对脑梗死病人偏瘫进行早期的运动康复疗法有效地改善其肢体活动功能,提高日常生活能力。

Objective To investigate the effect of early kinesitherapy on FMA and MBI of patients with cerebral infarction. Methods To divide 167 patients suffering from cerebral randomly into observation group（85 cases） and control group （82 cases） , All of them follow the conventional drug therapy for neurology, while the observation group are added with kinesitherapy. FMA and MBI （ using Barthel index） of all patients are measured one month before treatment and three months after treatment respecbively. Result There are distinct differents between two groups before and after treatment （ P 〈 0.05 ） ;To means comparision in the two groups, the FMA score and the recovery of MBI capacity in the observation group are better than the eontrol group（ P 〈 0.01 ）. Conclusion Through early kinesitheraphy,the FMA and MBI of patients with cerebral infarction can be improved effectively.