康复介入治疗对脑梗死后偏瘫患者运动功能及日常生活能力的影响

Effects of rehabilitation therapy on motor function and daily living activities in patients with hemiplegia after acute cerebral infarction

目的探讨康复介入治疗对脑梗死后偏瘫患者运动功能及日常生活能力的影响。方法 2013年2月至2015年8月我院就诊的70例脑梗死后偏瘫患者,根据临床分期不同分为急性期组和恢复期组各35例。两组均在发病2周内给予康复介入治疗,包括一般内科治疗及护理、运动疗法、作业疗法和功能训练。比较两组康复介入治疗后第14天和第30天Fugl-Meyer运动功能评分、日常生活活动能力Barthel评分指数及神经功能缺损评分。结果两组康复介入治疗第14天和第30天Fugl-Meyer评分、改良Barthel指数及神经功能缺损评分均较治疗前改善,且急性期组较恢复期组改善明显(P<0.05)。结论康复介入治疗可明显促进脑梗死偏瘫急性期及恢复期患者的运动功能和日常生活能力恢复,且康复介入治疗对于急性期患者的运动功能和日常生活能力恢复影响更为显著。

Objective To investigate the effects of rehabilitation interventional therapy on motor function and daily living abilities in patients with hemiplegia after acute cerebral infarction. Methods The clinical data of 70 patients with hemiplegia after cerebral infarction in our hospital from February 2013 to August 2015, were retrospectively analyzed, The patients were divided into acute stage group and convalescent group according to the clinical stage,35 cases in each group. The patients in both groups were given rehabilitative intervention within 2 weeks after onset. Rehabilitation interventions included general medical treatment and care, exercise therapy, occupational therapy, and functional tiaining. The scores of Fugl-Meyer motor function score, Barthel score index and neurological deficit score were compared before treatment, on the 14 th day after rehabilitative intervention,30 days after rehabilitation intervention between the two groups. Results On the 14 th day of rehabilitation intervention,30d Fugl-Meyer score and modified Barthel index were significandy improved in both groups （ P 〈 0. 05 ）, and the improvement of the acute stage group was better than that of the convalescent group （ P 〈 0. 05 ）. Conclusion Rehabilitation intervention can significantly improve the recovery of motor function and daily life of patients with hemiplegia in the acute stage and convalescent stage of cerebral infarction. The effect of rehabilitation intervention on motor function and recovery of daily life is more significant in acute stage.