脑卒中早期康复治疗的疗效观察

The effect of early rehabilitation of acute hemiplegic stroke in 62 patients

目的 观察早期康复治疗对急性脑卒中偏瘫患者的疗效。方法 将 12 6例急性脑卒中的患者随机分成两组。治疗组 6 2例 ,在给予一般药物治疗的同时应用Bobath技术进行早期康复治疗 ,30天为 1个疗程。对照组 6 4例 ,仅给予一般药物治疗。从研究开始到 30天结束后的评分指标包括脑卒中的临床神经功能缺损程度评分、Barthel指数和临床疗效的总有效率。结果 治疗组与对照组相比较神经功能缺损程度评分明显减少 (P <0 .0 1) ;Barthel指数明显提高 (P <0 .0 1) ,总有效率治疗组为 95 % ,对照组为 84 % (χ2 =3.96 ,P <0 .0 5 )。结论 早期康复治疗对于急性脑卒中偏瘫后的功能恢复是非常有效的 ,它能明显减少致残率而改善日常生活能力。

Objectives To observe the efficacy of early rehabilitation in treating acute hemiplegic stroke.Methods 126 cases of hemiparalysis patients with acute stroke were randomly divided into two groups.62 patients in the treated group were given conventional treatment and early rehabilitation treatment with Bobath technique for 30 day as a course. 64 patients in the control group were given only conventional treatment.The evaluation points included clinical neurological deficitis scate of stroke.Barthel index and the total effective rate at the begin and the end(30 day) of the course.Results The results revealed that the clinical neurological defects in the treated group was much lower than the control group(P<0.01).The Barthel index increased markedly,compared to the control group(P<0.01).The total effective rate was 95% in the treated group,while 84% in the control group(χ 2=3.96,P<0.05).Conclusions Early rehabilitation is very effective for the functional recovery after acute hemiplegic stroke.It can markedly decrease disabilities and improve daily activities.