早期康复训练对脑卒中患者偏瘫肢体功能恢复的影响

目的　观察早期康复训练对脑卒中患者偏瘫肢体运动功能恢复的影响。方法　将 60例急性脑卒中患者随机分为康复组 (3 0例 )及对照组 (3 0例 ) ,康复组患者采用神经促通技术治疗 6个月 ,而对照组患者则不给予任何规范、系统的康复治疗。分别于治疗前、治疗 1个月、治疗 3个月及治疗 6个月时 ,采用Fugl Meyer评分及Barthel指数积分评定 2组患者日常生活活动能力和偏瘫肢体运动功能的改变情况。结果　治疗前 ,2组患者Fugl Meyer评分及Barthel指数积分基本接近 ,差异无显著性意义 (均P >0 .0 5 ) ;经治疗 1个月、3个月及 6个月后 ,康复组患者上述时间点的Fugl Meyer评分及Barthel指数积分均明显优于对照组 ,差异均有极显著性意义 (均P <0 .0 1)。结论　早期给予系统、规范的康复治疗可以显著提高患者的瘫肢运动功能及日常生活活动能力。当患者处于恢复期 (患病 4～ 6个月内 )时 ,指导患者家属帮助其进行功能训练 ,同样也能获得较好的疗效 ,该时期的康复治疗及患者家属的作用均应予以足够重视。

The effect analysis of early functional rehabilitation treatment on the hemiplegic patients suffering from stroke

Objective To study the effect of rehabilitation treatment on the motor function of hemiplegic patients caused by stroke. Methods Sixty cases of acute stroke were randomly divided into a rehabilitation group and a control group. In rehabilitation group, the patients were treated with various facilitation techniques for 6 months. Fugl-Meyer Scale and Barthel Index were used to assess motor function and ADL at pre-therapy and 1, 3 and 6 months post-therapy, respectively. Results The scores of Fugl-Meyer and Barthel index in both groups were similar at pre-therapy stage (all P>0.05), but the patients in the rehabilitation group demonstrated much higher scores in Fugl-Meyer and Barthel index than those in the control group at the end of 1,3 and 6 months after rehabilitation therapy (all P<0.01). Conclusion Early intensive rehabilitation therapy could effectively improve the motor function and ADL performance of hemiplegic patients. The ensuing home rehabilitation training at the 4, 5 and 6 months was helpful for improving the patients' motor function. The effect of family rehabilitation should be stressed at this period.