急性脑卒中偏瘫患者65例早期康复干预效果观察

目的:探讨急性脑卒中偏瘫患者早期康复干预的效果.方法:将130例急性脑卒中偏瘫患者随机分为康复组和对照组各65例,均接受常规药物治疗、基础护理,康复组患者同时应用必要的康复治疗及护理,治疗4周后肢体功能按Fugl-Meyer测评,日常生活活动能力(ADL)用Barthel(BI)指数进行评价.结果:治疗后两组Fugl-Meyer、BI积分与治疗前比较有显著性差异(P＜0.01),康复组明显优于对照组(P＜0.01).结论:早期康复干预有利于急性脑卒中患者偏瘫功能的恢复,能明显提高其运动功能及日常生活活动能力.

Observation of effective outcome of early rehabilitation intervention on 65 patients with hemiplegia caused by acute stroke

Objective: To study the effect of early rehabilitation intervention on patients with hemiplegia caused by acute stroke.Methods: One hundred and thirty patients with hemiplegia caused by acute stroke were divided into rehabilitation group(n=65) and control group(n=65) at random.All the patients were given routine therapy and basic nursing care;additionally the patients in rehabilitation group were given necessary rehabilitation and rehabilitated nursing care and the function of limbs was assessed by Fugl-Meyer and ADI was evaluated by Barthel after 4-week treatment.Results: The significant difference was found in the comparison of the scores of Fugl-Meyer and BI between the 2 groups before and after treatment(P<0.01);the effective outcome was much better in the rehabilitation group than that in the control group(P<0.01).Conclusion: Early rehabilitation intervention can promote patient's recovery and improve patient's motor function and ADL obviously.