依达拉奉联合康复训练治疗急性脑血管病的临床疗效观察

Effect of Edaravone Combined with Rehabilitation Treatment on Acute Cerebrovascular Diseases

目的观察运用药物治疗加现代康复的易化技术对脑血管病急性期偏瘫的治疗作用。方法依达拉奉30mg加入0.9%氯化钠溶液100 ml,静脉注射,每天2次,14 d为1疗程。康复治疗以Botath方法为主,对治疗组急性期脑血管患者进行系统康复训练,偏瘫运动功能采用Fugl-Meyer评定量表评定,日常生活活动能力采用Barthe L指数量表评定。在治疗开始和结束时分别进行评定。结果治疗组与对照组Fugl-Meyer评分,有显著性差异(P<0.01);治疗组与对照组Barthe L指数评分有显著性差异(P<0.01)。结论脑血管病急性期在药物治疗基础上,早期开展康复治疗可以取得较好的治疗效果,降低患者的致残率。

Objective To investigate the clinical effect of drug therapy combined with facilitation techniques in modern rehabilitation science on hemiplegia caused by acute cerebrovascular diseases. Methods 30 mg of edaravone was added into 100 ml of 0. 9% normal saline by intravenous drips,twice a day,for 14 days. Systematic rehabilitation treatment was performed in the treatment group of acute cerebrovascular diseases with Botath method as the main method. The motor function of hemiplegic patients was evaluated using Fugl-Meyer scale and their activities of daily life using Barthe L index at the beginning and the end of treatment. Results Statistically significant differences were found in Fugl-Meyer scale and Barthe L index between the two groups（ P〈0. 01）. Conclusion Compared with conventional medication for acute cerebrovascular diseases,early additional rehabilitation treatment resulted in better outcomes,such as reduced disabilities.