急性脑卒中患者早期康复的临床研究  

Clinical study of early rehabilitation therapy of stroke patients

作　　者：尚翠侠[1] 李强[2] 刘珊珊[1] 侯海涛[1] 

机构地区：[1]西安交通大学第一医院康复医学科,西安710061 [2]西安交通大学第一医院心理科,西安710061

出　　处：《中华物理医学与康复杂志》2003年第10期619-621,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　对比研究早期康复治疗对脑卒中患者发病早期的神经功能缺损程度、平衡功能、运动功能及日常生活活动能力 (ADL)的影响。方法　 64例急性脑卒中患者随机分为康复组及对照组 ,康复组采用综合疗法 (包括药物治疗、Bobath疗法、PNF疗法及神经肌肉电刺激等治疗 )。对照组采用药物治疗。 2 8d后分别评价两组患者的神经功能缺损程度、平衡功能、运动功能及ADL。结果　所有受试者治疗后神经功能缺损积分均明显减少 ,平衡功能、运动功能、ADL积分均明显增加 ,两组的变化均数相比 ,康复组优于对照组 (P<0 .0 5 )。结论　急性脑卒中患者早期综合康复与药物治疗相比 ,在降低其神经功能缺损积分 ,提高平衡功能、运动功能。Objective To study the effect of early rehabilitation intervention on neurological deficits,equilibrium function, motor function and activities of daily life abilities in stroke patients. Methods Sixty two patients with acute stroke were allocated randomly into two groups: rehabilitation group and control group. The patients in the rehabilitation group were treated with a comprehensive rehabilitation regimen including the clinical treatment,Bobath technique, PNF technique and neuromuscular stimulation therapy. The patients in the control group were treated with medications. Neurological deficits,equilibrium function,motor function and ADL of all the patients were assessed before and after 28 days of rehabilitation intervention. Results The neurological deficit scores were reduced, while equilibrium function and motor function and ADL were increased after therapy in the two groups. The difference was significant ( P <0.05). The scores in rehabilitation group were significantly higher than those in the control group ( P <0.01) . Conclusion Early rehabilitation therapy is better than medication on reduction of neurological deficit and increase of equilibrium function,motor function and ADL for stroke patients

关 键 词：急性脑卒中 早期康复 临床研究 神经功能缺损 平衡功能 

分 类 号：R493[医药卫生—康复医学]