早期康复治疗对急性脑卒中患者运动功能的影响

The effects of early rehabilitation on motor function in hemiplegics after stroke

目的 :探讨早期康复治疗对脑卒中偏瘫患者一个月后运动功能的影响。方法 :12 9例脑卒中偏瘫患者随机分成治疗组 (74例 )和对照组 (5 5例 )进行了临床对照性研究 ,两组均常规进行神经内科的药物治疗 ,治疗组加以运动疗法和电疗等康复治疗方法 ,并对每例患者在进入课题时和一个月后测试两次Fugl-Meyer运动功能 (FMA)。 结果 :治疗组两次评价分别为 4 .94± 4 .5 4、10 .6 0± 5 .2 0 ,对照组为 7.5 6± 6 .36、10 .2 7± 6 .5 7;两组前后比较均有高度显著性差异 ;两组的变化均数比较治疗组一个月后运动功能能力恢复优于对照组 (P <0 .0 0 1)。结论 :早期综合康复治疗对患者一个月后的运动功能能力具促进的作用 ,可明显降低患者的功能障碍 。

Objective:In order to study the effect of early rehabilitation on motor function in hemiplegics after stroke.Method:129 patients were randomly divided into two groups,rehabilitation group(74 cases)and control group(55 cases).Patients in the rehabilitation group were given clinical treatment electric stimulation therapy(EST)and regularly physical therapy,while those in control group were given clinical treatment and unguided self-training,and the evaluation was done in pre-treatment and post-a-month respectively. Motor function was assessed in Fugl-Meyer Assessment(FMA).Result:The motor scores in each groups rised and had a significant difference( P <0.001),the process of scores in the rehabilitation group were obviously superior to that in the control group( P <0.001).Conclusion:Early rehabilitation training on hemiplgics after stroke may obviously improve motor function,depressing the disability and increasing the quality of living.