45例恢复期脑卒中全面康复的研究

Astudy of the comprehensive rehabiitation in 45 convalescent cases after stroke

对45例恢复期脑卒中患者进行全面康复的尝试,于治疗前后进行了MAS、Barthel指数等康复评价。结果:治疗后除手的功能外,其它各项运动功能及Barthel指数均显著提高(P<0.05或0.01);6例失语患者中5例明显好转;6例中、重度焦虑(2例伴抑郁)者明显好转;16例58岁以下者5例(31.25％)重新工作;7名患者实现不同程度的家庭设施改造。故单一的技术或方法有一定的局限性,全面康复是提高脑卒中患者功能的有效途径。

According to the principles of comprehensive rehabilitation, 45 post-strokepatients were treated. Before and after treatment, MAS, Barthel Index and other assessment were used. The results showed that except the function of the affected hands, other motor functions were greatly improved. In 6 cases with aphasia, 5 were improved, 6 cases with anxiety recovered. Among 16 cases, aged lesser than 58 years old, 5 (31.25%) returned to work. There were 7 eases whose family furniture and streutures were altered. This enabled the patients to move easily. The authors considered that using a single technique in stroke rehabilitation has many limitations. Comprehensive rehabilitation might be the most effective way for recovery of function after stroke.