心理治疗和康复训练对脑梗死偏瘫患者疗效的影响

The Efficacy of Rehabilitation Training and Psychological Treatment for Hemiplegia Patients with Cerebral Infarction

目的探讨脑梗死偏瘫肢体在发病驰缓期、痉挛期、相对恢复期进行康复训练和心理康复,观察肢体运动能力和日常生活能力的恢复效果。方法将140例脑梗死病人随机分为康复训练组80例和对照组60例,康复训练组在发病早期进行心理康复和肢体强化康复训练,对照组60例按常规治疗,执行常规治疗护理。结果康复训练后Barthel指数评测两组日常能力,康复训练组明显优于对照组,差异具有统计学意义(P<0.01)。结论脑梗死偏瘫病人早期进行心理治疗和康复训练是功能恢复的重要环节,有利于提高病人日常生活能力和生存质量。

Objective To investigate the rehabilitation training and psychological treatment of hemiplegia patients with cerebral infarction in lag phase ,convulsion phase and the relative recovery phase. And observe recovery effects of physical exercise and daily living capacity. Methods A total of 140 patients of cerebraf infarction were randomly divided into rehabilitation training group, early onset patients were given psychological and physical rehabilitation training, 60 cases of the control group were given conventional treatment and care. Results After rehabilitation training,Barthel index was used to evaluate the daily capacity of the two groups, rehabilitation training group was significantly higher than the control group, the difference was very significant （P〈0. 01 ）. Conclusion The psychological treatment and rehabilitation training to hemiplegia patients with cerebral infarction in the early stage is an important part of functional recovery,making for the improvement of the ADL and quality of life.