脑卒中偏瘫早期系统康复治疗临床分析

Clinical analysis of early rehabilitation for hemiplegia of cerebrovascular accident

目的 探讨系统康复治疗早期介入对脑卒中病人偏瘫肢体功能恢复及日常生活能力 (ADL)的影响。方法 将 12 0例首发脑卒中病人 ,随机分为康复组和对照组 ,将两组治疗前后BI指数和FMA积分进行对比分析。结果 治疗前BI指数和FMA积分差异无显著意义 (P >0 0 5 ) ,治疗后两组这两项指标均有不同程度改善 ,且两组比较差异显著 ,康复组改善程度明显大于对照组 (P <0 0 1)。结论 系统康复治疗早期介入对脑卒中偏瘫病人预后起着重要作用 ,心理康复 ,针刺治疗及康复训练是系统化康复治疗三个不可或缺的部分 ,均应同等重视。

Objective To explore the effect of early rehabilitation for the function of hemiplagia limbs and the ability of daily living(ADL) in patients suffering from cerebrovascular accident(CVA).Methods 120 patients with first time CVA were randomly divided into,rehabilitation group and control group.The index BI with FMA integration were compared and analyzed pre-treatment and post-treatment.Results There is no significant difference(P>0.05) between index BI and FMA integration pre-treatment.The two indexes improved to some degree and statistical difference post-treatment was found between the two groups.The degree of improvement in rehabilitation group is much grater than that in the controls(P<0.01).Conclusion Early rehabilitation plays a very important role for the patients suffering from the post-hemipelgia of CVA.Psychologic rehabilitation,acupuncture and facilitation techniques are indispensable and should be stressed equally.