脑卒中患者早期康复活动的研究进展

Early rehabilitation activity for stroke patients: a review

早期康复活动是改善脑卒中患者功能障碍的重要方式,但活动的最佳开始时间、剂量和频率等尚无明确的标准和意见。普遍认为早期康复活动应在脑卒中24~48 h内开始,并根据患者脑卒中类型、病情严重程度和耐受程度等因素进行评估,制定个体化的活动方案。本文检索国内外相关文献,对早期康复活动的开始时间、频率、剂量和内容,以及医务人员对早期康复活动的认知和态度进行综述,为今后脑卒中早期康复活动的研究与临床应用提供参考。

Early rehabilitation activity is an important way to improve functional impairment in stroke patients.However,there are no clear standards and opinions on the optimal start time,dosage and frequency of early rehabilitation activi⁃ty.It is generally believed that early rehabilitation activity should start at 24 to 48 hours after stroke,and individual programs should be developed according to the assessment of stroke type,severity of disease,tolerance degree and oth⁃er factors.This review searches domestic and international literature related to early rehabilitation activity and summariz⁃es the start time,dose,frequency and content of early rehabilitation activity,as well as the cognition and attitude of medical workers towards it,so as to provide insights into studies and clinical applications of early rehabilitation activity.