早期主动性康复对脑梗死偏瘫患者下肢功能恢复的影响

Influence of early active rehabilitation on lower limb function of cerebral infarction patients with hemiplegia

目的:观察早期主动性康复治疗对脑梗死偏瘫患者下肢功能恢复的影响。方法 :在两所二级医院选择符合研究条件的脑卒中患者61例 ,分为康复组37例 ,对照组24例。比较发病4周后两组的下肢功能。结果 :初次评测两组无明显差别(P>0.05) ;末次评测下肢瘫痪程度(用FMA的下肢评分表示)康复组和对照组分别为20.68±8.92和11.42±8.20 ,P值为0.000。步行功能恢复和上下楼梯的功能 ,康复组和对照组间有显著性差异(P<0.05)。结论 :早期主动性的康复治疗可以明显改善脑卒中偏瘫患者下肢功能的恢复。

Objective: To show influence of early active rehabilitation on lower limb function of cerebral infarction patients with hemiplegia.Methods:61 stroke patients meeting the criteria were selected from two hospital in one city,rehabilitation group 37,control group 24.Compare lower limb function between two groups at 4 weeks after onset.Results:There were no significant differences between two groups in the first evaluation(P >0.10).In the last evaluation,function of lower limb of rehabilitation group and control group individually is 20.68±8.92 and 11.42±8.20(P=0.000)。There were significant differences in lower limb function in terms of walk and stairs between two groups in the last outcomes(P< 0.05).Conclusion :Early active rehabilitation therapy can obviously improve the function of lower limb of stroke patients with hemiplegia.