脑梗死功能训练时机与疗效关系探讨  

The relationship between the timing of functional training and its therapeutic effects on patients with cerebral infarction

作　　者：王玉芬[1] 蒋丽君[1] 申玲[1] 邱小红[1] 

机构地区：[1]山西省长治医学院附属和平医院神经内科,长治046000

出　　处：《中华物理医学与康复杂志》2004年第4期223-225,共3页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的　探讨脑梗死后功能训练时机与疗效间的关系。方法　将入选的 15 6例颈内动脉系统脑梗死患者随机分为A、B、C 3组 ,每组 5 2例 ,分别于发病后 7d以内、7～ 3 0d、3 0d后进行功能训练。 3个月后进行疗效评定。结果　A、B两组疗效相近 (P >0 .0 5 ) ;两者与C组比较 ,疗效明显优于C组 (P <0 .0 5 )。结论　脑梗死后 7～ 3 0d进行功能训练更为有利 ,这样 ,在取得满意疗效的同时可以避免过早功能训练使病情加重的危险。Objective To explore the relationship between the timing of functional training and its therapeutic effects on patients with cerebral infarction. Methods One hundred and fifty-six patients with cerebral infarction of internal carotid artery system were randomly and equally divided into three groups (groups A, B and C), and the functional training was initiated within 7d, 7～30d or over 30d after cerebral infarction in groups A, B, C, respectively. The effects were evaluated at 91d after the functional training. Results Compared with those of group C, the therapeutic effects in groups A and B were significantly better (P<0.05). No significant difference was revealed between the groups A and B. Conclusion More beneficial effects might be expected if the functional training was applied within 7～30d after cerebral infarction. And the satisfied therapeutic effects might be achieved while the risk of aggravation due to precocious training avoided.

关 键 词：脑梗死 功能训练 颈内动脉系统 诊断标准 生活质量 

分 类 号：R743.33[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]