脑梗死患者早期康复治疗的临床分析  

Clinical Application of Early Rehabilitation in Patients with Cerebral Infarction

作　　者：施雪英[1] 石力[1] 袁良津[1] 顾尚恒[1] 蒋鸣坤[1] 姚正鹏[1] 张玉琴[1] 刘肇芳[1] 

机构地区：[1]安徽医科大学附属安庆医院神经内科,安徽省安庆市246003

出　　处：《中华全科医学》2011年第7期1014-1015,共2页Chinese Journal of General Practice

基　　金：安徽省教育厅自然基金(KJ2008B31ZC)

摘　　要：目的研究对脑梗死患者应用早期康复治疗干预的临床价值和意义。方法随机选取2008年10月-2010年10月间在神经内科住院治疗的脑卒中患者160例,将其分为康复组及对照组。对照组患者主要给予神经内科常规药物治疗;康复组患者在此基础上给予康复干预,包括运动疗法、ADL训练及心理干预等。于治疗前、后采用脑卒中神经功能缺损评分标准(中国)及Barthel指数评分对两组患者进行疗效评定。结果治疗后两组患者脑梗死神经功能缺损评分与Barthel指数评分均较治疗前明显提高,且康复组患者与对照组相比,差异有统计学意义(P<0.01)。结论早期康复干预可明显提高脑梗死偏瘫患者运动功能及日常生活活动(ADL)能力。Objective To study clinical value and significance of early rehabilitation of patients with cerebral infarction.Methods 160 patients with cerebral infarction from October 2008 to October 2010 in neurology department of our hospital were selected and randomly divided into rehabilitation group and control group.Control group were mainly given routine treatment;rehabilitation group were given rehabilitation intervention on the basis of routine treatment,including physical therapy,ADL training and psychological intervention.Neurological deficit scoring stroke（China） and Barthel Index score was used in the two groups before and after treatment.Results Neurological deficit scores and Barthel Index score was significantly improved in 2 groups patients with cerebral infarction after treatment,and there were statistically significant in the rehabilitation group compared with the control group（P0.01）.Conclusion The early rehabilitation intervention can significantly improve motor function and ADL ability in hemiplegic patients with cerebral infarction.

关 键 词：脑梗死 康复治疗 日常生活活动能力 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R493.2[医药卫生—临床医学]