摘要
目的:探讨康复治疗介入时机对脑卒中患者预后的影响。方法:选取2012年1月至2013年1月间我院收治的脑卒中患者90例,随机分为观察组与对照组,两组患者入院给予脑卒中常规治疗,包括解除脑水肿、保护脑组织、扩容改善血液循环等治疗,且均自愿接受康复治疗,并能够配合康复医师的康复训练。观察组患者在生命体征平稳、意识清晰后后即进行康复训练治疗,对照组于常规治疗4周后行康复治疗,两组患者于康复训练治疗前、后采用MBI(modified barthel index)进行日常生活活动能力(ADL)评价、采用Fugl-Meyer评定法(FMA)对运动功能进行评分、美国国立研究院脑卒中评定量表(NIHSS)对神经功能缺损进行评价。结果:两组患者康复治疗前MBI、FMA、NIHSS评分比较无统计学差异(P>0.05);治疗后两组患者上述指标较康复治疗前比显著改善,治疗前后比较差异有统计学差异(P<0.05);观察组患者治疗后MBI、FMA、NIHSS评分改善较对照组更为显著,组间比较差异有统计学意义(P<0.05);观察组患者康复治疗后肩-手综合征治疗显效率显著高于对照组(P<0.05)。结论:早期训练治疗可促进脑卒中患者神经、运动功能及ADL能力恢复,缓解肩-手综合征症状,对脑卒中患者预后起积极作用。
To investigate the effect of rehabilitation intervention timing on the prognosis of patients with cerebral apoplexy .Method：A total of 90 patients with cerebral apoplexy admitted in our hospi-tal from Jan.2012 to Jan.2013 were randomly divided into observation group and control group , two groups of patients were provided with routine treatment of stroke , including relieving cerebral edema , protecting treatment such as brain tissue , improving blood circulation , adopting rehabilitation treatment voluntarily , and following the instructions of rehabilitation physicians .the vital signs were stable and consciousness recovered , while the control group adopted rehabilitation training 4 weeks conventional after toutine treatment .The abili-ty of daily life （ ADL） , motor function score and neurologic deficits were evaluated respectively with modified barthel index （MBI）, Fugl-Meyer analysis（FMA）and NIH stroke scale （NIHSS） before and after treat-ment.Result：Before rehabilitation treatment , there was no statistical difference of MBI , FMA, NIHSS be-tween two groups （ P〉0.05）;the above-mentioned indexes were improved significantly after treatment in two groups, comparison difference before and after treatment was statistically significant （ P〈0.05）;MBI, FMA and NIHSS improved more significantly in observation group after treatment than that in the control （ P〈0.05）;shoulder-hand syndrome in observation group was better relived compared with control group after re -habilitation （ P〈0.05） .Conclusion：Early treatment can promote the recovery of nerve function , motor func-tion and ADL ability , alleviate symptoms of shoulder-hand syndrome , play a positive role in the prognosis of patients with cerebral apoplexy .
出处
《河北医学》
CAS
2014年第11期1798-1801,共4页
Hebei Medicine
基金
河北省张家口市科技计划项目
(编号:110115D)
关键词
早期康复
脑卒中
预后
Early rehabilitation Stroke Prognosis
