摘要
目的 观察早期康复训练联合降纤酶治疗对急性脑梗死偏瘫患者肢体运动功能及脑血液动力学的影响.方法 共选取90例初发急性脑梗死患者,将其随机分为康复组及对照组.2组患者均给予降纤酶等常规内科治疗,康复组于发病48 h后积极介入康复训练.于治疗前及治疗1个月后分别采用简式Fugl-Meyer评分法（FMA）评定患者肢体运动功能,采用改良Barthel指数（MBI）评定患者日常生活活动（ADL）能力,采用爱丁堡斯堪的那维亚脑卒中评分（SSS）评定患者神经功能缺损程度,同时采用脑循环动力学检查仪分别检测患者治疗前、后脑循环动力学改变情况.结果 2组患者分别经1个月治疗后,发现其FMA、MBI、SSS评分及脑循环动力学指标均较治疗前明显改善（P〈0.05）;进一步分析发现,康复组患者上述指标改善幅度相对较显著,与对照组比较,组间差异均具有统计学意义（P〈0.05）.结论 早期康复训练联合降纤酶治疗能进一步改善急性脑梗死患者脑血液动力学指标,提高神经及肢体运动功能,有助于患者ADL能力恢复,该联合疗法值得临床推广、应用.
Objective To investigate the influence of early rehabilitation and defibrase on the hemodynamic cerebral vascular dynamic index （CVDI） of hemiplegic patients with acute cerebral infarction. Methods Ninety hemiplegic patients with acute infarction were randomly divided into a rehabilitation and a control group. Both groups received defibrase routine treatment. The rehabilitation group received systematic rehabilitation training in addition. The Fugl-Meyer assessment （ FMA） , the Scandinavian Scoring Scale （ SSS） and Barthel＇s index （ MBI） were employed to evaluate the functioning of the two groups. The CVDIs of all patients were quantified before and after treatment. Results The FMA, MBI and SSS scores as well as the CVDIs of both groups had improved after 4 weeks of treatment, but all were more improved in the rehabilitation group than in the control group. Conclusions Early rehabilitation was effective for relieving neurological impairment and improving ability in the activities of daily living for patients with acute cerebral infarction.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2010年第5期366-369,共4页
Chinese Journal of Physical Medicine and Rehabilitation
基金
山西省高校科技研究开发项目（200713024）
关键词
康复训练
降纤酶
脑梗死
血液动力学
Rehabilitation
Defibrase
Cerebral infarction
Hemodynamics
