早期康复治疗对卒中偏瘫患者运动功能和日常生活活动能力影响的临床研究  

the Effects of Early Rehabilitation on Motor Functions and Activities of Daily living in Patients with Hemiplegia After Stroke： A Clinical Study

作　　者：甘照儒[1] 王恰如[1] 陆晖[1] 曾祥发[1] 刘泰[1] 刘海兰[1] 蔡超群[1] 邱潇娴[1] 张永全[1] 谭文谰[1] 黄建民[1] 

机构地区：[1]广西中医学院附属瑞康医院神经内科,南宁530011

出　　处：《中华脑血管病杂志（电子版）》2007年第1期27-29,共3页Chinese Journal of Cerebrovascular Diseases(Electronic Edition)

基　　金：广西壮族自治区卫生厅科研立项课题（No.99128）

摘　　要：目的：探讨早期康复治疗对卒中患者运动功能和日常生活活动能力（ADL）的影响。方法：88例卒中偏瘫患者随机分为早期康复治疗组（43例）和对照组（45例），两组均进行常规药物治疗，康复组加以康复治疗；每例患者入组时和治疗第30天分别用Fugl-Meyer运动功能（FMA）量表评价运动功能和Barthcl指数（BI）评价ADL。结果：康复组和对照组治疗后BI评分和FMA评分均较治疗前显著增加，但康复组较对照组更为显著（P〈0．05）。结论：早期康复治疗可显著改善卒中偏瘫患者的运动功能和ADL。Objective： To investigate the influence of early rehabilitation on motor functions and activities of daily living （ADL） in stroke patients. Methods： Eighty-eight patients with hemiplegia after stroke were randomly allocated into either an early rehabilitation group （n = 43） or a control group （n = 45）. Both groups were treated with conventional medications, and the early rehabilitation group was given additional rehabilitation treatment; the motor functions and ADL in every patient at entry and at day 30 after the treatment were assessed with Fugl-Meyer assessment （FMA） and Barthel index （BI）, respectively. Results： The scores of FMA and BI after the treatment in both early rehabilitation and control groups increased significantly as compared with those before the treatment, but the former was more significant than the latter （P 〈 0.05）. Conclusions： Early rehabilitation may significantly improve the motor functions and ADL in patients with hemiplegia after stroke.

关 键 词：卒中 康复 运动功能 日常生活活动能力 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]