早期康复治疗脑梗死急性期运动功能障碍患者的疗效观察

Clinical effect of early rehabilitation therapy on motor dysfunction in the acute phase of cerebral infarction

目的 探讨脑梗死急性期运动功能障碍患者应用早期康复治疗的效果。方法 90例脑梗死急性期运动功能障碍患者,随机分为对照组和观察组,各45例。对照组进行常规治疗,观察组在对照组基础上进行早期康复冶疗。比较两组治疗前后的简氏Fugl-Meyer评定量表(FMA)评分、Barthel指数。结果 治疗后,观察组上肢和下肢的FMA评分均高于对照组,差异有统计学意义(P<0.05)。治疗后,观察组Barthel指数为(68.55±13.74)分,高于对照组的(49.32±11.28)分,差异有统计学意义(P<0.05)。结论 对脑梗死急性期患者采用早期康复治疗,可有效改善患者肌力和肌痉挛状况,有效促进患者神经功能恢复,促进患者运动功能恢复,临床效果显著,值得推广应用。

Objective To discuss the clinical effect of early rehabilitation therapy on motor dysfunction in the acute phase of cerebral infarction.Methods A total of 90 patients with motor dysfunction in the acute phase of cerebral infarction were randomly divided into control group and observation group,with 45 cases in each group.The control group received conventional treatment,and the observation group received early rehabilitation therapy on the basis of the control group.The simple Fugl-Meyer assessment(FMA)score and Barthel index were compared between the two groups before and after treatment.Results After treatment,the FMA scores of the upper and lower limbs in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the Barthel index of the observation group was(68.55±13.74)points,which was higher than(49.32±11.28)points of the control group,and the difference was statistically significant(P<0.05).Conclusion Early rehabilitation treatment has significant clinical effects on patients in the acute stage of cerebral infarction,and it can effectively improve patients'muscle strength and muscle spasticity,effectively promote patients'neurological recovery,and promote patients'motor function recovery,which is worthy clinical promotion.