脑卒中偏瘫康复训练程序化研究

A Study on Program of Rehabilitation Exercises in Patients with Hemiplegia Caused by Cerebral Apoplexy

目的 :观察脑卒中偏瘫患者进行康复训练的疗效。方法 :2 2例脑卒中患者 :康复组 12例 ,对照组 10例。 2组均接受神经科常规药物治疗。康复组按“中风后程序化康复训练表”进行康复训练 ,分别于康复前、康复后 1月和 3月进行疗效评定。结果 :日常生活活动能力量表 (ADL)测评结果显示 :康复组有效率 83 3% (10 / 12 ) ,对照组 30 % (3/10 ) ,2组差别有显著意义 (P <0 0 5 )。神经功能缺损评分结果显示 :康复组有效率 91 7% (11/ 12 ) ,对照组 4 0 % (4 / 10 ) ,2组差别有显著意义 (P <0 0 1)。结论 :康复训练能降低脑卒中偏瘫患者的致残率 ,提高生活质量。

Objective: To observe the effect of programmed rehabilitation exercises on patients with hemiplegia caused by cerebral apoplexy. Methods: 22 cases of hemiplegia were divided into the rehabilitation group (RG, n=12) and the control group (CG, n=10). All of the patients received routine neurological treatment. Patients in RG did rehabilitation exercises, while patients in CG didn’t. Results: The Barthel ADL index for daily living capacity of patients in RG was obviously improved as compared with that of patients in CG (P<0.05). The effective rates in the 2 groups were 83.3% (10/12) and 30% (3/10) respectively. Evaluation of neurological dysfunction showed that patient state of RG was obviously improved as comparing with that of CG (P<0.01). The effective rates were 91.7% (11/12) and 40% (4/10) respectively. Conclusion: Programmed rehabilitation exercises are helpful in improving the life quality of the patients with ceredral apoplexy caused hemiplegia.