摘要
目的:探讨早期康复训练对脑卒中偏瘫患者肢体运动功能的影响。方法:108例脑卒中患者根据康复治疗开始的时间不同分为早期组56例及对照组52例,均按照神经内科常规治疗方案治疗,早期组患者在发病15～30d时即配合康复训练;对照组于发病3～6个月后接受康复训练。2组治疗前及治疗3个月后均进行运动功能评分(FMA)和ADL评分。结果:治疗前,早期组FMA评分明显低于对照组(P<0.01),ADL评分差异无显著性意义;治疗3个月后,2组FMA评分和ADL评分与治疗前比较均有提高(P<0.01、0.05),2组间比较,早期组明显高于对照组(P<0.01)。结论:康复治疗早期介入对降低脑卒中的致残率,减少并发症具有重要意义。
Objective：To approach the effect of early rehabilitation therapy on motor function of stroke patients with hemiplegia. Methods ：108 stroke patients were divided into early rehabilitation group and control group on the basis of the starting time of rehabilitation. Besides medical treatment, the patients in early rehabilitation group accepted system rehabilitation training from beginning by rehabilitation therapist. Fugl-Meyer and Barthel index were employed for the functional assessment before and after treatment. Results：Before treatment, the Fugl-Meyer score in early rehabilitation group was significantly lower than in control group （P〈0.01）, but there was no significant difference in ADL score between them. After 3-month therapy, the scores of Fugl Meyer and ADL were increased as compared those before treatment （P〈0.01,0.05）, and those in early rehabilitation group were higher than in control group （P〈0. 001）. Conclusion：Early rehabilitation therapy can reduce the disabled rate and complication occurrence in stroke patients.
出处
《中国康复》
2008年第6期386-387,共2页
Chinese Journal of Rehabilitation
关键词
脑卒中
早期康复
运动功能
stroke
early rehabilitation
motor function
