早期康复对重度偏瘫的脑卒中患者运动功能恢复的影响

Influence of early rehabilitation intervention on motor function recovery of acute stroke patients with severe hemiplegia

目的 :观察早期主动性康复治疗对重度偏瘫的脑卒中患者运动功能恢复的影响。方法 :在沧州市两所二级医院选重度瘫痪的脑卒中偏瘫患者 10 1例 ,康复组 5 7例 ,对照组 44例。在残损和残疾两个水平上评测患者功能。比较康复治疗后两组间的差异。结果 :初次评测的各主要指标两组间无明显差别 (P >0 .0 5 ) ;末次评测的运动功能的FMA上肢、FMA下肢、FIM -ADLs、FIM -Mobility和FIM每周增加值的结果 ,对照组分别为 11.36± 11.89、12 .91± 9.13、2 5 .45± 8.0 2、9.84± 8.49、2 6 .14± 10 .0 3和 4.82± 4.5 6 ,康复组分别为 2 7.6 8± 2 0 .91、2 0 .0 4± 9.2 2、31.96± 10 .41、15 .6 7± 8.19、2 8.5 6± 9.31和 8.93± 5 .2 7,两组间有显著性差异 (P <0 .0 5 )。结论 :早期主动性的康复治疗可以促进重度瘫痪的脑卒中患者的运动功能的改善。

Objective:To observe influence of early rehabilitation intervention on motor function recovery of severe hemiplegia acute stroke patients.Method:101 stroke patients with severe hemiplegia were selected from two hospital in Cangzhou city. The patients from one hospital (57 cases) were given rehabilitation therapy and the patients from another hospital (44 cases) constituted the control group.Comparing outcomes between the two groups at 4 weeks after stroke onset.Result:There were no significant differences between the two groups in the first evaluation of motor function ( P > 0.05 ).But at the last evaluation, there were significant differences between the two groups ( P <0.05).Conclusion:Early active rehabilitation intervention can obviously accelerate motor function recovery in severe hemiplegia stroke patients. Author′s address\ Dept. of Rehabilitation Medicine, Beijing Hospital, Beijing,100730