早期康复治疗对急性大血管闭塞引起的脑卒中运动功能恢复的影响研究  

The effect of early rehabilitation treatment on the recovery of motor function in stroke caused by acute large vessel occlusion

作　　者：戚进聪 苏瑞林[1] 李钟安[1] 吴海强 QI Jin-cong;SU Rui-lin;LI Zhong-an(Zhanjiang Central People's Hospital,Zhanjiang 524045,China)

机构地区：[1]湛江中心人民医院,524045

出　　处：《中国实用医药》2020年第25期166-167,共2页China Practical Medicine

基　　金：2017年度湛江市科技计划项目(项目编号:2017A01025)。

摘　　要：目的探讨早期康复治疗对急性大血管闭塞引起的脑卒中运动功能恢复的影响。方法 55例急性大血管闭塞引起的脑卒中患者,随机分为观察组(28例)与对照组(27例)。对照组接受常规治疗+护理干预,观察组患者在对照组基础上采取早期康复治疗。对比两组患者的运动功能、生活质量及住院期间并发症发生率。结果观察组患者简式Fugl-Meyer评定量表(FMA)、日常生活能力量表(ADL)评分分别为(59.68±6.76)、(65.76±6.64)分,均显著高于对照组的(42.66±5.85)、(56.93±5.67)分,差异有统计学意义(P<0.05)。观察组患者住院期间并发症发生率为7.14%,显著低于对照组的29.63%,差异有统计学意义(P<0.05)。结论早期康复治疗应用于急性大血管闭塞后脑卒中患者效果显著,能够有效促进其运动功能的恢复,降低临床并发症的发生,值得推广。Objective To discuss the effect of early rehabilitation treatment on the recovery of motor function in stroke caused by acute large vessel occlusion. Methods A total of 55 cases of stroke caused by acute large vessel occlusion were randomly divided into observation group(28 cases) and control group(27 cases). The control group received conventional treatment and nursing intervention, and the observation group received early rehabilitation treatment on the basis of the control group. The motor function, quality of life and incidence of complications during hospitalization were compared between the two groups. Results The simplified FuglMeyer assessment(FMA) and activities of daily living(ADL) score of the observation group was(59.68±6.76) and(65.76±6.64) points, which was significantly higher than that of the control group(42.66±5.85) and(56.93±5.67) points, and the difference was statistically significant(P<0.05). The incidence of complications during hospitalization of the observation group was 7.14%, which was significantly lower than that of the control group 29.63%, and the difference was statistically significant(P<0.05). Conclusion Early rehabilitation treatment shows remarkable effect in stroke caused by acute large vessel occlusion, which can effectively promote the recovery of motor function and reduce the incidence of clinical complications, which is worthy of promotion.

关 键 词：脑卒中 早期康复治疗 常规护理 急性大血管闭塞 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]