脑卒中偏瘫早期综合理疗分析

Early comprehensive physiotherapy therapy for hemiplegic stroke

目的评价脑卒中偏瘫早期不同理疗方法与预后效果。方法 2010年9月～2013年12月选择在我院进行理疗康复的脑卒中偏瘫患者72例,根据随机抽签原则分为治疗组与对照组各36例,对照组采用常规康复理疗,治疗组给予低频电流理疗法,所有患者都给予常规药物与行为干预,康复周期为1个月。结果两组干预后的日常生活能力都明显提高,评分与干预前对比差异有统计学意义（P〈0.05）,同时干预后治疗组评分也明显高于对照组（P〈0.05）。干预后治疗组的生理机能、生理职能、躯体疼痛、总体健康、社会功能和情感职能评分明显高于对照组,差异有统计学意义（P〈0.05）。结论相对红外线理疗,低频电流刺激应用于脑卒中偏瘫早期康复偏能有效改善其日常生活能力,从而提高预后生活质量。

Objective To evaluate the methods and prognosis of different early physiotherapy therapy for stroke hemiplegia. Methods Selected 72 cases of hemiplegic stroke from September 2010 to December 2013 in our hospital, accorded to the principle of random draw were divided into treatment group and control group of 36 cases, the control group used conventional rehabilitation therapy, the treatment group received lowfrequency current management therapy, all patients were treated with conventional drugs and behavioral interventions, the rehabilitation period were 1 month. Results The daily living ability of the two groups after rehabilitation were significantly improved compared to significant differences（P〈0.05）, while the treatment group＇ scores were also significantly higher compared to the control group（P〈0.05）. After the intervention, the physiology function, physiological function, bodily pain, general health, social function and emotional function scores of the treatment group were significantly higher, compared to significant differences（P〈0.05）. Conclusion Low-frequency current management therapy applied to the early rehabilitation of stroke hemiplegic migraine can effectively improve their daily living skills, thereby enhance the quality of life outcomes.