早期康复对重症卒中患者认知和运动障碍的影响

Effect of early rehabilitation on the cognitive and motor disorders in severe stroke patients

目的探讨早期康复在重症卒中治疗中的疗效和价值。方法选择134例重症脑卒中患者，进行早期康复治疗干预，包括认知功能训练、运动功能训练和日常生活活动能力训练。于治疗前24h及治疗4周后分别采用简易精神状态检查量表（MMSE）、FugI-Meyer运动功能评分（FMA）和Barthel指数（BI）进行评定。结果对比患者早期康复治疗前后结果，MMSE[（19．16±8．86）分比（22．33±7．36）分]、FMA[（34．08±22．21）分比（53．96±24．79）分]、BI[（35．38±19．83）分比（61．78±18．88）分]评分均较干预前提高，差异均有统计学意义（P〈0．05）。结论早期康复可以显著减少卒中后认知和运动功能障碍的发生，减少致残率，提高患者的生存质量。

Objective To identify efficacy and value of early rehabilitation in the treatment of severe stroke. Methods A total of 134 cases of severe stroke patients were recruited for early rehabilitation, including cognitive function training, motor function training and daily life activity training. The Mini-Mental State Examination （MMSE）, the FugI-Meyer Assessment （FMA） and the Barthel Index （BI） were applied 24 hours before treatment and 4 weeks after treatment. Results Comparing the results before and after the patients＇ early rehabilitation, MMSE [ （19.16 ± 8.86） vs （22.33 ± 7.36） ], FA M [ （34.08 ± 22.21） vs （53.96 ± 24.79） ], BI [ （35.38 ± 19.83） vs （61.78 ± 18.88）]. The scores were significantly increased after treatment, and the differences were statistically significant （P 〈 0.05）. Conclusions Early rehabilitation plays a significant role in reducing post-stroke cognition and motor dysfunction, and can reduce the disability rate and improve patients＇quality of life.