康复卒中单元对脑卒中偏瘫患者步行能力的影响

Effect of Rehabilitation Stroke Unit on Walking in Stroke Patients with Hemiplegia

目的研究康复卒中单元对脑卒中偏瘫患者步行能力的影响。方法 86例脑卒中后步行障碍患者随机分为治疗组和对照组,每组43例。治疗组纳入康复单元,按照康复方案进行治疗,对照组进行常规康复。治疗8周后采用Berg平衡量表(BBS)、10 m最大步行速度(MWS)、简化Fugl-Meyer量表(FMA)、改良Barthel指数(MBI)进行评定。结果治疗前两组BBS、MWS、下肢FMA及MBI评分无显著性差异(P>0.05)。治疗后两组BBS、MWS、下肢FMA及MBI评分均较治疗前明显改善(P<0.01),治疗组优于对照组(P<0.05)。结论康复卒中单元对脑卒中偏瘫患者恢复步行能力有更好疗效。

Objective To investigate the effect of rehabilitation stroke unit on walking in stroke patients with hemiplegia. Methods 86 patients with walking impairment after stroke were randomly divided into control group （n=43）, who accepted conventional treatment, and experimental group （n=43）, who were incorporated into the rehabilitation stroke unit. They were assessed with Berg Balance Scale （BBS）, 10 m Maximum Walking Speed （MWS）, Fugl-Meyer Assessment （FMA） and modified Barthel Index （MBI） before and 8 weeks after treat- ment. Results The scores of BBS, MWS, FMA and MBI improved aRer treatment irL both groups （P〈0.01）, and improved more in the experi- mental group than in the control group （P〈0.05）. Conclusion Rehabilitation stroke unit is effective on walking ability in stroke patients with hemiplegia.