脑卒中偏瘫早期康复的临床研究  

A clinical study of early rehabilitation of hemiplegics after stroke

作　　者：黄晓兰[1] 毛玲娣[1] 孙英[1] 

机构地区：[1]河南第一荣康医院,河南新乡453003

出　　处：《中国民康医学》2003年第8期460-461,共2页Medical Journal of Chinese People’s Health

摘　　要：目的 :探讨早期康复训练对脑卒中患者偏瘫肢体运动功能恢复 ,日常生活活动能力 (ADL)的影响。方法 :将 16 5例急性脑卒中患者随机分为康复组 (85例 )和对照组 (80例 )进行了临床对照性研究 ,两组均常规进行神经内科的药物治疗 ,康复组脑梗死患者于病后第 1天、脑出血患者于病后第 3天 ,在生命体征稳定 ,病情无进行性加重时开始康复治疗。两组患者经治疗 15天后进行肢体功能缺损评定。结果 :按简式Fugl-Meyer评分法和Barthel指数记分法评定两组差异有显著性 (P <0 0 1)。结论 :急性脑卒中患者进行早期康复治疗能明显改善患者运动功能和ADL能力 ,并能减少并发症、缩短病程、提高生活质量。Objective:to study the effects of early rehabilitation on limb function in hemiplegics after stroke and on activities of daily living Methods:165 patients of acute stroke were randomly divided into two groups rehabilitation group(85cases)and control group(80cases) Besides the treatment of routine medicine therapy to all patients,the patients in the rehabilitation group were given early comprehensive rehabilitation in the first day(in cerebral infarction patients)or the third day(in cerebral hemorrhage patients)after onset when physical signs were stable and conditions did not deteriorate After the treatment for 15 days,both groups were evaluated with their limb function deficit Results:There is an obvious difference(P<0 01)in the two groups assessed with Fugl-Meyer technigue and Barthel index Conclusion:Early rehabilitation on hemiplegics after acute stroke may obviously improve motor function and ADL,decreasing complication,shortening course of disease and thus increasing the quality of living

关 键 词：脑卒中 偏瘫 肢体运动功能 日常生活活动能力 早期康复训练 并发症 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R742.3[医药卫生—临床医学]