卒中单元内早期规范康复治疗对急性脑梗死患者肢体运动功能及日常生活能力的影响  

Effect of Early Standardized Rehabilitation Therapy in Stroke Unit on Limb Motor Function and Daily Living Ability in Patients with Acute Cerebral Infarction

作　　者：秦雅鑫[1] 汤武装 QIN Ya-xin;TANG Wu-zhuang(Department of Rehabilitation,Yixing People's Hospital,Yixing,Jiangsu Province,214200 China)

机构地区：[1]宜兴市人民医院康复科,江苏宜兴214200

出　　处：《系统医学》2019年第5期44-46,共3页Systems Medicine

基　　金：宜兴市科技局社会发展类基金(2017SF08)

摘　　要：目的探讨卒中单元内早期规范康复治疗对急性脑梗死患者肢体运动功能及日常生活能力的影响。方法以2017年5—12月为时限,抽取80例急性脑梗死患者随机分为A组(卒中单元内早期规范康复治疗)、B组(卒中单元内常规康复治疗)、C组(普通病房内早期规范康复治疗)和D组(普通病房内常规康复治疗),每组各20例,对比观察各组康复效果。结果治疗4周后,A组NIHSS评分(3.4±2.7)分低于B、C、D组(t=3.517,4.122,4.873;P<0.05),Fugl-Meyer评分(50.2±10.1)分高于B、C、D组(t=5.631,6.042,6.385;P<0.05),Barthel指数(60.9±13.3)分高于B、C、D组(t=6.540,6.981,7.136;P<0.05)。结论卒中单元内早期规范康复治疗急性脑梗死可有效改善患者神经功能缺损,促进肢体功能恢复。Objective To investigate the effects of early standardized rehabilitation therapy on limb motor function and daily living ability in patients with acute cerebral infarction.Methods From May to December 2017,80 patients with acute cerebral infarction were randomly divided into group A(early standardized rehabilitation in stroke unit),group B(conventional rehabilitation in stroke unit),group C(in the general ward,early standard rehabilitation treatment)and group D(conventional rehabilitation in the general ward),20 cases in each group,compare the rehabilitation effects of each group.Results After 4 weeks of treatment,the NIHSS score of group A(3.4±2.7)points was lower than that of group B,C and D(t=3.517,4.122,4.873;P<0.05),Fugl-Meyer score(50.2±10.1)points,higher than group B,C,D(t=5.631,6.042,6.385;P<0.05),Barthel index(60.9±13.3)points was higher than group B,C,D(t=6.540,6.981,7.136;P<0.05).Conclusion Early standard rehabilitation in stroke unit for acute cerebral infarction can effectively improve neurological deficits and promote limb function recovery.

关 键 词：脑梗死 卒中单元 肢体功能 日常生活能力 

分 类 号：R74[医药卫生—神经病学与精神病学]