早期康复治疗对急性脑血管病肢体功能的影响  

The Influence of Early Rehabilitation Treatment for Acute Cerebrovascular Disease to Recovery Limb Function

作　　者：陈启明[1] 肖林[1] 王娴默[1] 左凌[1] 黄丽华[1] 陕大艳[1] 

机构地区：[1]荆州市第一人民医院,湖北荆州434000

出　　处：《昆明医科大学学报》2015年第9期43-45,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(30860286);荆州市医疗卫生科技计划项目(2013-23)

摘　　要：目的探析早期康复疗法对于改善急性脑血管病后患者肢体运动功能的价值.方法随机选取荆州市第一人民医院近年来收治的70例急性脑血管病患者的资料作为回顾性分析依据,将35例接受临床基础治疗与早期康复治疗的患者分为观察组,将仅接受临床常规治疗的35例患者分为对照组,患者的运动技能与生活自理能力分别采用Brunnstrom法与Barthel法进行评定.收集2组患者康复周期内的数据,以作为6周后2组病人整体康复效果对比的依据.结果治疗前2组患者的肢体运动功能与自理水平比较显示P>0.05,组间无明显差异,康复疗程6周后,观察组患者的肢体运动功能与自理水平的改善情况均要明显优于对照组患者(P<0.05).结论脑血管病具有较高的致残率,故应重视早期康复,针对急性脑血管患者开展早期康复介入治疗可有效促进脑血管病患者各项功能的恢复,可明显改善患者的肢体功能,提高患者的生活质量.Objective Analyze the value of early rehabilitation therapy to improve the limb motor function after acute cerebral vascular disease. Methods Randomly selected 70 cases of acute cerebrovascular disease from our hospital in recent years as a retrospective analysis of data. The research group （n=35） will accept the basis of clinical treatment and early rehabilitation treatment. The control group （n ： 35） will accept the clinical treatment only. Patients＇ motor skills and life self-care ability will be respectively assessed by Brunstrom and Barthel method. The data of the two group patients of recovery effect was collected in the period of rehabilitation for six weeks as the basis of comparison. Results Before treatment, there were no significant differences between the two groups of limb movement function and self-care level （P 〉 0.05） . After 6 weeks of rehabilitation course, observation group of patients with limb motor function and self-care on the improvement of their levels were significantly superior to the coptrol group patients （P 〈 0.05） Conclusion Cerebrovascular disease with high morbidity, should attach importance to early rehabilitation. In patients with acute cerebrovascular early rehabilitation intervention can effectively promote the functional recovery in patients and can obviously improve the patient＇s body function, improve the quality of life of the patients.

关 键 词：早期康复介入 急性脑血管病 肢体运动功能 生活自理能力 影响 

分 类 号：R743[医药卫生—神经病学与精神病学]