早期康复对急性脑卒中偏瘫病人62例临床预后的影响

EFFECTS OF EARLY REHABILITATION ON CLINICAL PROGNOSIS FOR 62 CASES OF ACUTE STROKE PATIENTS WITH HEMIPLEGIA

目的:探讨早期康复方法能否改善急性脑卒中偏瘫病人的运动功能、提高生活活动(ADL)能力、改善临床疗效。方法:采用国际公认的Bobath疗法和临床试验方法进行对照评价。结果:①早期康复组治疗前后比较,简式评分法(FMA)、临床神经功能缺损程度评价(MESSS)、改良Bobath指数评分法(MBI)均有明显改善(P<0.05),对照组治疗前后比较则无显著改变(P>0.05),2组治疗后比较改善有显著性差异(P<0.05);②早期康复组康复的总有效率明显高于对照组(P<0.05)。结论:早期应用Bobath疗法治疗急性脑卒中偏瘫病人,能显著减轻神经功能缺损程度,明显提高患肢的运动功能和ADL能力,改善临床预后,降低病人的致残率。

Objective To investigate whether early rehabilitation could improve motor functions, increase activities of daily living (ADL) and improve clinical curative effects as well . Methods Both Bobath treatment and clinical test were used for controlled evaluation. Results ①The score of MESSS was obviously decreased (P < 0.05) and the scores of FMA and MBI were significantly increased (P < 0.05) in early rehabilitation group after one month rehabilitation treatment compared with control group. That showed neurological deficit was decreased and motor function proved in early rehabilitation group, while control group did not show any significant change(P > 0.05). ②The total validity rate of rehabilitation was obviously higher in early rehabilitation group than the control group (P <0.05). Conclusions Early rehabilitation can not only reduce the neurological deficit and disabilities, but also significantly improve the motor function and ADL ability for the stroke patients with hemiplegia. [