不同时机康复治疗对脑梗死偏瘫患者神经功能及运动能力的影响

Influence of Rehabilitation Therapy at Different Times on Neurological Function and Motor Ability in Patients with Cerebral Infarction Hemiplegia

目的探讨不同时机康复治疗对脑梗死偏瘫患者神经功能及运动能力的影响。方法将108例脑梗死偏瘫患者随机分为两组,对照组于病情稳定期实施康复治疗,观察组于早期开展康复治疗。治疗手段包括运动功能康复训练、物理疗法、推拿、日常生活技能训练和心理康复治疗。比较两组的神经功能及运动能力。结果治疗后2周、4周及6周,观察组NIHSS评分均低于对照组,FMA评分均高于对照组(P<0.05)。结论早期康复治疗在脑梗死偏瘫患者中的应用效果较好,能够促进患者神经功能恢复,改善其肢体运动能力。

Objective To explore the influence of rehabilitation therapy at different times on neurological function and motor ability in patients with cerebral infarction hemiplegia.Methods 108 patients with cerebral infarction hemiplegia were randomly divided into two groups.The control group was given rehabilitation therapy in the stable stage,and the observation group was given rehabilitation therapy in the early stage.The treatment methods included motor function rehabilitation,physical therapy,massage,daily living ability training and psychological rehabilitation therapy.The neurological function and limb motor ability were compared between the two groups.Results At 2 weeks,4 weeks and 6 weeks after treatment,the NIHSS scores of the observation group were lower than those of the control group,and the FMA scores were higher than those of the control group(P<0.05).Conclusions Early rehabilitation therapy has better application effect in patients with cerebral infarction hemiplegia,and can promote the recovery of neurological function and improve the limb motor ability.