70例脑卒中偏瘫患者早期康复训练效果观察  

Observation of the Effection of Early Rehabilitation Training for 70 Patients with Hemiplegia after Stroke

作　　者：骆岚[1] 

机构地区：[1]山东中医药大学第二附属医院干部保健科,济南市250001

出　　处：《中华全科医学》2013年第1期31-32,共2页Chinese Journal of General Practice

摘　　要：目的探讨脑卒中偏瘫患者早期康复训练对运动功能的影响。方法选择脑卒中患者136例,随机分为康复组和对照组,其中康复组70例,对照组66例,两组在年龄、性别、发病性质、发病时间、严重程度、合并症状等方面差异均无统计学意义(P>0.05)。两组除同时进行常规药物治疗和护理外,康复组在患者生命体征平稳后即开始系统的康复训练。两组在出院时采用Barthel指数评分法进行评分。结果两组患者在出院时进行Barthel指数评分,康复训练组Barthel指数评分>60分者明显高于对照组,单因素方差分析证明两组患者在运动能力及生活自理能力方面差异具有统计学意义(P<0.01)。结论早期康复训练有利于脑卒中偏瘫患者的肢体功能恢复,有效降低卒中后的致残率,显著提高脑卒中偏瘫患者的日常生活活动能力。Objective To study the effect of early rehabilitation on motor function of patients with hemiplegia after stroke. Methods 136 patients were randomly divided into two groups, rehabilitation group （70 cases） and control group （66 cases） which had no significantly statistical differences （ P 〉 0.05 ） on age, sex, disease properties, disease time, severity and merger symptoms. Except the same pbarmacotherapy and nursing care, patients in the rehabilitation group were given rehabilitation train- ing after vital signs became stable. Barthel index evaluation method was used to evaluate the effect of early rehabilitation training for the rehabilitation group. Results The Barthel index which greater than 60 of rehabilitation group were significant higher than that of the control group, One-Way ANOVA analysis of the sports ability and self-care ability of two groups showed significant difference （ P 〈 0. 01 ）. Conclusion Early rehabilitation training of the patients with stroke hemiplegia can obviously improve mo- tor function of the hmbs and reduce the disability rates after stroke, and improve the daily life activities of the patients.

关 键 词：脑卒中 偏瘫 康复训练 

分 类 号：R743.3[医药卫生—神经病学与精神病学]