早期康复训练对缺血性脑卒中偏瘫患者运动功能和日常生活活动能力的影响

Effects of Early Rehabilitation Training on Motor Function and Daily Activities of Hemiplegic Patients with Ischemic Stroke

目的探讨早期康复训练对缺血性脑卒中偏瘫患者运动功能和日常生活活动能力的影响。方法回顾性分析2015年3月至2017年3月因缺血性脑卒中偏瘫的患者共300例,根据康复方式分为早期康复训练(早期组)和常规康复训练(对照组),于两组患者入院时和干预3个月后采用美国国立卫生研究院卒中量表(NIHSS)评分、欧洲卒中评分量表(ESS)、简易智能精神状态检查量表(MMSE)评分评估其神经功能康复情况,采用Fugl-Meyer下肢运动功能评分(FMA)评估其运动能力,采用日常生活能力评分(ADL)评估其日常生活活动能力。结果两组患者入院时的NIHSS、ESS和MMSE评分对比差异均无统计学意义(P>0.05);干预3个月后两组患者的NIHSS、ESS和MMSE评分均显著改善(P<0.05),早期组的NIHSS评分显著低于对照组(P<0.01),ESS和MMSE评分显著高于对照组(P<0.01)。两组患者在入院时FMA和ADL评分对比差异无统计学意义(P>0.05);干预3月后均显著提高,早期组的FMA和ADL评分显著高于对照组,差异具有统计学意义(P<0.05)。结论早期康复训练能显著促进缺血性脑卒中偏瘫患者的神经功能和运动功能的早期康复,同时促进日常生活活动能力的早期康复。

Objective To investigate the effect of early rehabilitation training on motor function and daily activities of hemi-plegic patients with ischemic stroke. Methods A retrospective analysis was conducted of 300 patients with ischemic stroke hemiple-gia diagnosed between March 2015 and March 2017. Those patients were divided into the early rehabilitation training group （early group） and routine rehabilitation training group （ control group） according to rehabilitation methods. The neurological rehabilitation of the patients was assessed by means of the NIHSS score, ESS score and MMSE score upon admission and 3 months after interven-tion. The motor function was assessed with the Fugl-Meyer lower extremity motor function score （FMA）. ADL was used to evaluate the daily life ability. Results There was no significant difference in NIHSS, ESS or MMSE scores between the two groups （P〉0. 05）. Those scores were significantly improved in both groups after 3 months of intervention （P〈0. 05）. The NIHSS scores in the early group were significantly lower than those in the control group （P〈0. 01）, while the scores of ESS and MMSE in the early group were significantly higher （P〈0. 01）. There was no significant difference in FMA or ADL scores between the two groups （P〉0. 05）. The scores of FMA and ADL in the early group were significantly higher than those in the control group （P〈0. 05）. Conclusion Early rehabilitation training can significantly promote early rehabilitation of neurological function and motor function in hemiplegic patients with ischemic stroke, thus contributing to the resumption of activities of daily life.