摘要
目的探讨康复治疗对出血性脑梗死患者功能恢复的影响。方法选择35例出血性脑梗死患者和35例单纯大面积脑梗死患者,分为研究组和对照组。两组在患者生命体征稳定、神经系统体征不再进展后开始康复。用Fugl-Meyer运动功能评定法(FMA)评定患者的运动功能,用修订的Barthel指数(MBI)评定患者的日常生活能力。两组在康复前及康复治疗1个月后各评定1次,并运用统计学软件对差值进行分析。结果治疗前FMA、MBI两组差异无显著性意义,康复治疗1个月后两组评分均较治疗前有显著性差异(P<0.01),出血性脑梗死组比单纯大面积脑梗死组改善程度更明显(P<0.05)。结论康复治疗可促进出血性脑梗塞偏瘫患者的肢体运动功能改善,日常生活能力提高,较单纯大面积脑梗死患者效果更明显。
Objective To observe the effect of rehabilitation therapy on functional recovery in patients with hemorrhagic infarction. Methods A total of 35 patients with hemorrhagic infarction were chosen as the study group, while 35 pa-tients with pure large-area cerebral infarction were chosen as the control group. The training were began after both groups vital signs were stable and nervous system signs were not progressing. Fugl-Meyer Motor Assessment Scale （FMA） was used to assess the motor function and Modified Barthel Index （MBI） was used to assess the activity of daily living （ADL）.The two groups were respectively assessed before the treatment and after one-month treatment, using the statistic software to analyze the differences. Results There was no significant difference between the control group and the study group pre-treatment, but the differences were significant after one-month treatment in two groups （P〈0.01）, and more significant in the hemorrhagic infarction group（P〈0.05）. Conclusion Rehabilitation therapy could significantly improve the motor function and the ADL of hemiplegic patients with hemorrhagic infarction, and it is more significant than the patients with pure large-area cerebral infarction.
出处
《中国现代医生》
2014年第25期13-15,18,共4页
China Modern Doctor
基金
浙江省温岭市科研立项(2011WLCA0100)
关键词
出血性脑梗死
康复治疗
运动功能
日常生活能力
Hemorrhagic infarction Rehabilitation training Motor function Activity of daily living
