早期运动干预对急性脑梗死偏瘫患者肢体运动功能恢复的影响

Effect of early-phase exercise intervention on the recovery of limps motor function of acute cerebral infarction patients with hemiplegia

目的:探讨运动干预疗法对急性脑梗死患者肢体功能的影响。方法;分别随机选取急性脑梗死偏瘫患者50例作为对照组,50例作为干预组,干预组在给予药物治疗和常规护理的基础上,于入院1周内进行运动干预,分别采用Brunnstrom偏瘫运动功能评价法评定运动功能恢复情况,Barthel指数(MBI)评定日常生活活动能力(ADL),并对两组的疗效进行比较。结果:治疗12周后,干预组的疗效明显优于对照组,Brunnstrom、Barthel指数差异有统计学意义(P<0.01)。结论:早期运动干预对改善急性脑梗死偏瘫患者的ADL,提高肢体运动能力有明显疗效,能降低致残率,提高其生活质量。

Objective： To investigate the effect of early-phase exercise intervention on the recovery of limps motor function of acute cerebral infarction patients with hemiplegia. Methods： 50 acute cerebral infarction patients with hemiplegia were randomly selected as control group, while another 50 cases as the intervention group. The intervention group underwent exercise intervention within 1 week admitted into the hospital on the basis of drug administration and routine activities ability （ADL） of both groups were assessed by nursing. The motor function recovery and daily life Brunnstrom and Barthel index （MBI） respectively, and the efficacy of both groups were compared too. Results： After 12 weeks＇ treatment, the efficacy of the intervention group was obviously better, and there were significant differences of the Brunnstrom and Barthel indexes in both groups（P 〈 0.01）. Conclusion： Early-stage exercise intervention is helpful to improve ADL, limps motor functions of patients, reduce the disabled rate and improve the life qualities of patients as well.