早期康复治疗脑梗死急性期患者运动功能障碍的效果

Effects of Early Rehabilitation on Motor Dysfunction of Patients with Acute Cerebral Infarction

目的:探讨早期康复治疗对脑梗死急性期患者运动功能障碍的影响。方法:68例脑梗死患者随机分为康复组和对照组各34例,2组均给予常规药物治疗,康复组还给予早期康复治疗,疗程8周。治疗前后采用Fugl-Meyer量表评定上下肢运动功能;改良痉挛评定量表(MAS)评定痉挛情况;Lovett 6级分级法评价上下肢运动肌力。结果:康复组治疗后的Fugl-Meyer积分、MAS分级和肌力分级均优于治疗前,且优于对照组,差异有统计学意义(P<0.05)。结论:早期康复治疗可在一定程度改善脑梗死急性期患者上下肢运动功能、肌痉挛和肌张力。

Objective： To study the effects of early rehabilitation on motor dysfunction of patients with acute cerebral infarction. Methods： Sixty-eight cases with cerebral infarction were randomly divided into rehabilitation group and control group with 34 cases in each group. The 2 groups were given routine drug therapy, and the rehabilitation group was given additional early rehabilitation treatment for 8 weeks. Before and after the treatment,Fugl-Meyer assessment was used to evaluate patients＇ upper and lower extremity motor function. Modified Ashworth Scale（MAS） was used to assess spasticity situation, and Lovett 6-level classification was used to assess upper and lower extremity muscle movement. Results： After the treatment, the Fugl-Meyer scores, MAS scores and Lovett levels of the rehabilitation group were improved compared with those before the treatment and those of the control group（P〈0.05）. Conclusion： Early rehabilitation can improve extremity motor function, muscle cramps and muscle tension to some extent in patients with acute cerebral infarction.