康复治疗时机对脑梗死患者认知和运动功能恢复的影响

Effect of Timing of Rehabilitation Treatment on Recovery of Cognitive and Motor Functions in Patients with Cerebral Unfarction

[目的]探讨不同的康复治疗开始时间对脑梗死患者认知功能和运动功能的影响。[方法]收集本院2016年1月至2021年1月收治的160例符合纳入条件的脑梗死患者,回顾性分析脑梗死患者在不同的康复治疗干预时间后其治疗的临床康复效果。按患者接受康复干预的时间点分为两组,其中80例患者开始康复治疗的时间为发病后d_(2)(观察组),另外80例患者开始康复治疗的时间为发病后d_(7)(对照组),两组患者采用相同的干预方法。分别在治疗前、治疗后1个月和3个月时利用简易精神状态检查(Mini-mental State Ex-amination,MMSE)量表评分、肢体运动功能(Fugl-Meyer,FMA)量表评分和日常生活活动能力(Activities Of Daily Living,ADL)量表评分评估不同的康复治疗开始时间对脑梗死患者认知功能和运动功能的影响。[结果]两组患者治疗前MMSE评分、FMA评分、ADL评分比较,差异均无统计学意义(P>0.05)。治疗后1个月和治疗后3个月两组患者的MMSE评分、FMA评分、ADL评分均较治疗前明显升高,且治疗后3个月明显高于治疗后1个月、观察组明显高于对照组,其差异均有统计学意义(P<0.05)。[结论]脑梗死患者给予早期康复干预治疗能够更有效地改善患者的认知功能和肢体运动功能。

[Objective]To investigate the effects of different start times of rehabilitation therapy on cognitive and motor functions in patients with cerebral infarction.[Methods]We collected 160 patients with cerebral infarction admitted to our hospital from January 2016 to January 2021 who met the inclusion criteria,and retrospectively analyzed the clinical rehabilitation effects of the treatment of patients with cerebral infarction after different rehabilitation treatment intervention times,and divided them into two groups according to the time point at which the patients received the rehabilitation intervention.Eighty of the patients started rehabilitation treatment on day 2 after onset(experimental group)and the other 80 patients started rehabilitation treatment on day 7 after onset(control group),and the same interventions were used in both groups(see Methods section for details).The patients'cognitive and motor functions were evaluated using the Mini-mental State Examination(MMSE)scale score.the Fugl-Meyer-FMA scale score and the Activities Of Daily Living(ADL)scale score.The prognosis of the patients was evaluated before,one month and three months after treatment,and the clinical rehabilitation effects of the two groups were compared at different times of rehabilitation treatment intervention.[Results]The differences in MMSE score,FMA score and ADL score before treatment were not statistically significant in both groups(P>0.05).The MMSE scores,FMA scores and ADL scores were significantly higher in both groups at 1 month after treatment and 3 months after treatment than before treatment,and were significantly higher in the experimental group than in the control group at 3 months after treatment,and the differences were statistically significant(P<0.05).[Conclusion]Early rehabilitation interventions for patients with cerebral infarction are more effective in improving cognitive function and limb movement function.