急性脑卒中的早期康复疗效观察

Observation of Therapeutic Effects for Early Rehabilitation of Acute Hemiplegic Stroke

目的：探讨急性脑卒中的早期康复疗效。方法：将７０例急性脑卒中患者随机分为两组：早期康复组３５例，应用易化技术进行康复训练，疗程３个月；对照组３５例，不进行康复训练。采用临床神经功能缺损程度评分，简式 Ｆｕｇｌ－Ｍｅｙｅｒ运动功能评分（ＦＭＡ），改良 Ｂａｒｔｈｅｌ指数（ＭＢＩ）于初期、末期（３个月后）对两组病人评定并进行 ｔ检验。结果：治疗后，早期康复组临床神经功能缺损程度评分明显减少，与对照组相比Ｐ＜０．０１；ＦＭＡ、ＭＢＩ明显提高，与对照组相比 Ｐ＜００１。结论：早期康复治疗可明显促进患肢运动功能恢复，降低致残率，提高日常生活能力。

Objective: To explore the effect of early rehabilitation in hemiparalysis of acute cerebral apoplexy. Mehods: 70 cases of hemiparalysis patients who suffered from cerebral apoplexy were randomly divided into two groups: 35 cases in the early rehabilitation group and trained with facilitation technique for 3 months as a couse;35 cases in the control group without rehabilitation practice. At the end of the course, Test were done of the two groups respectively with the evaluation point of clinical neurological defects, simple Fug- Meyer Assessment (FMA), modified barthel index (MBI) at the begin- ning and the end (3 months later) of the course. Result: After treatment, the evaluation point of clinical neurological defects in the early rehabilitation group is much lower than that in the control group, p<0. 01;the point of FMA, MBI increased markedly, Compared to the control group, p<0.01. Conclusion: Early rehabilitation practice can markedly improve the recovery of limbs function, decrease disabilities, and improve daily activities.