早期康复治疗对急性脑卒中患者日常生活能力的影响  

Effects of early rehabilitation on ADL in hemiplegias after stroke

作　　者：胡永善[1] 朱玉连[1] 杨佩君[2] 谢光柏[3] 吴慧敏[4] 

机构地区：[1]复旦大学附属华山医院康复医学科,200040 [2]上海第二医科大学附属瑞金医院康复医学科 [3]上海第二军医大学附属长征医院康复医学科 [4]上海第二医科大学附属仁济医院康复医学科

出　　处：《中国康复医学杂志》2002年第4期215-217,共3页Chinese Journal of Rehabilitation Medicine

基　　金：上海市卫生局重点课题

摘　　要：目的 :探讨早期康复治疗对脑卒中偏瘫患者 1个月后日常生活活动能力的影响。方法 :将 12 9例脑卒中偏瘫患者随机分成康复组 (74例 )和对照组 (5 5例 ) ,进行临床对照性研究 ,两组均常规进行神经内科的药物治疗 ,康复组增加运动疗法和电疗等康复治疗方法 ,对每例患者在进入课题时和 1个月后分别测试ADL能力。结果 :康复组两次Barthel指数分别为 6 .36± 4.93、13.0 0± 4.91,对照组为 7.5 0± 6 .19、11.6 0± 6 .2 6 ;两组前后比较均有高度显著性差异 (P <0 .0 0 1) ;两组的变化均数比较康复组 1个月后ADL恢复优于对照组 (P <0 .0 0 1)。结论 :早期康复治疗对患者 1个月后的日常生活活动能力具有良好的促进作用。Objective:To study the effect of early rehabilitation on ADL in hemiplegics after stroke. Method:129 patients were randomly divided into two groups, rehabilitation group(74 cases) and control group(55 cases). Patients in the rehabilitation group were given clinical treatment electric stimulation therapy and regularly physical therapy, while those in control group were given clinical treatment and unguided self-training, and the evaluation was done in pre-treatment and post a month respectively. ADL was assessed with Barthel index(BI). Result:The BI scores in each groups rised had a significant difference( P<0.001 ), the process of scores in the rehabilitation group were obviously superior to that in the control group. Conclusion:Early rehabilitation training on hemiplegias after stroke may obviously improve ADL scores.

关 键 词：急性脑卒中 早期康复 日常生活活动能力 

分 类 号：R493[医药卫生—康复医学]