康复治疗对不同阶段脑卒中患者运动功能影响的研究  

Study on Rehabilitation Therapy for Varied Stage Cerebral Apoplexy

作　　者：高晓艳[1] 杨青兰[1] 陈钢[1] 王代誉[1] 周萍萍[1] 

机构地区：[1]大庆油田总医院集团脑血管医院,黑龙江大庆163113

出　　处：《中国伤残医学》2010年第5期26-28,共3页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨康复治疗对脑卒中偏瘫患者肢体功能恢复及日常生活活动能力的影响,并观察早期康复组与延迟康复组患者的肢体功能及日常生活活动能力的恢复程度有无差别,选取最佳康复时间窗。方法:选取颈内动脉系统的脑卒中患者并有神经功能缺失者90例,依据患者发病到开始康复治疗时间划分为早期康复组(<14天)、延迟康复早期组(15天～3个月)、延迟康复晚期组(>3个月),采用神经功能缺损评分(CNS)、上田敏评定及改良巴氏指数(MBI)对患者进行初次和再次评分。结果:(1)3组内患者治疗前后各评价均有差异,P<0.01;(2)3组间治疗前后下肢情况比较:早期康复组优于延迟康复早期组,P<0.01,延迟康复早期组优于延迟康复晚期组,P<0.01;(3)3组间治疗前后上肢情况比较无显著差异,P>0.05。结论:(1)脑卒中的康复治疗是有效的,可促进患者功能的全面恢复:(2)早期康复组优于延迟康复早期组、延迟康复早期组优于延迟康复晚期组;(3)本次研究提示偏瘫患者上肢功能恢复较慢,各组间比较无显著性差异;(4)发病14天以内进行康复治疗为最佳康复时间窗。Objective：To investigate the rehabilitation therapy for patients with cerebral apoplexy hemiplegia limb function recovery and daily life activities,and observe the early recovery and rehabilitation group of patients with delayed limb function and daily life activities of the recovery is applied,select the best recovery time window.Methods：the system of intemal carotid artery patients with cerebral apoplexy and neurologic deficits,according to the pathogenesis of 90 patients to star trehabilitation time into early recovery group（14days）,delay recovery early group（15 days-3 months）,delay recovery （terminal 3 months）,neurologic deficits score （CNS）,TianMinevaluation and improvement on MBI index （pap） for patients with primary and again.Results：1 after treatment with three groups within each evaluation had difference,P0.01,2 three groups of lower compared before and after the treatment situation：early recovery group delay recovery than earlier group,P0.01,delay recovery early group was higher than the delay recovery late group,P0.01,3 three groups of upper case before and after the treatment was no significant difference P0.05,Conclusion：1 stroke rehabilitation therapy is effective and can promote function of patients with full recovery,2 early recovery group delay recovery than earlier group,delay recovery early group was higher than the delay recovery late,3 the study suggests partial patient upper limb function restore slower,non,significance difference,4 within 14 days of rehabilitation for optimum recovery time window.

关 键 词：脑卒中 康复治疗 运动功能 日常生活能力 

分 类 号：R49[医药卫生—康复医学]