早期康复训练对脑卒中偏瘫预后的影响

Influence of early rehabilitation training to the prognosis of elderly patients with cerebral apoplexy hemiplela

目的观察早期康复训练对老年脑卒中患者偏瘫恢复效果的影响。方法32例老年脑卒中患者根据开始康复训练时间的不同分为早期组（7～30d）16例和晚期组（3—6个月）16例，两组常规治疗与康复训练措施均相同，观察两组治疗前及治疗1、2个月时的FIM评分。结果治疗前，两组FIM评分差异无统计学意义（P〉0．05）；治疗2个月后，早期组FIM评分明显优于晚期组（U=2．742，P〈0．01）。结论早期康复训练可明显促进患者偏瘫肢体运动功能的恢复，提高临床疗效。

Objective To observe the effect of early rehabilitation training on functional recovery in elder stroke patients with hemiplegia. Methods Thirty-two elder stroke patients were divided into two groups, early group （ started at 7-30 clays after onset） and late group（ started at 3-6 months after onset）. Both groups were treated with the same routine iatreusis and rehabilitation treatment, FIM scales evaluated before, one and two months after treatment re- spectively. Results FIM scales of two groups showed no significant difference before rehabilitation （ P 〉 0. 05 ）. But compared with the late group, there was significant impropvement in the early group after two months＇treatment （U = 2. 742,P 〈 0. 01 ）. Conclusion Early rehabilitation training had obvious effect on promoting the motor functional recovery of hemiparalysis patients, and could improve the clinical effects.