急性脑梗死患者早期康复治疗的效果

目的：研究早期康复治疗对改善急性脑梗死患者的运动功能、日常生活活动能力以及预防并发症发生的影响。方法对入选的78例患者按随机数字表法分成康复组（40例）、对照组（38例），2组患者均采取常规治疗，康复组在此基础上给予康复干预，观察2组患者的治疗效果。用简化Fugl-Meyer运动功能评分和日常生活活动能力改良的Barthel指数对康复组、对照组在入院时和治疗1个月后分别进行量化评分，以及并发症发生情况统计。结果康复组、对照组在入院治疗前和治疗1个月后简化Fugl-Meyer运动功能评分分别为：（27.8±6.7）和（53.2±10.8）、（27.0±5.8）和（46.7±6.9）分；日常生活活动能力改良的 Barthel 指数评分分别为：（29.6±7.2）和（63.1±12.7）、（30.1±6.2）和（51.4±8.6）分，2组治疗前后经统计学检验差异均有统计学意义（P〈0.05），且治疗后康复组优于对照组（P＜0.05）。2组并发症发生率分别为：5.0%和15.8%，但经检验差异无统计学意义（P〉0.05）。结论早期康复治疗有助于促进急性脑梗死患者神经功能的恢复、提高患者的生活质量。且积极的早期康复治疗有可能减少并发症的作用。

Early Rehabilitation Treatment of Patients with Acute Cerebral Infarction

Objective To investigate the effects of early rehabilitation treatment on motor functions, activities of daily living and complications in patients with acute cerebral infarction. Methods A total of 78 patients were randomly given conventional treatment alone （control group, n=38） or in combination with rehabilitation intervention （rehabilitation group, n=40）. The therapeutic efficacies were evaluated and complications were observed in both groups. The motor functions and activities of daily living were assessed by the simplified Fugl-Meyer score and the modified Barthel index on admission to hospital and at 1 month after operation, respectively. Results The simplified Fugl-Meyer score was 27.8±6.7 on admission to hospital and 53.2±10.8 at 1 month after operation in rehabilitation group, and 27.0±5.8 on admission to hospital and 46.7 ±6.9 at 1 month after operation in control group. The modified Barthel index was 29.6±7.2 on admission to hospital and 63.1±12.7 at 1 month after operation in rehabilitation group, and 30.1±6.2 on admission to hospital and 51.4±8.6 at 1 month after operation in control group. The motor functions and activities of daily living were significantly improved after treatment in both groups （P〈0.05）. Compared with control group, both the simplified Fugl-Meyer score and the modified Barthel index were significantly increased in rehabilitation group （P〈0.05）.The incidence of complic-ations was 5.0% in rehabilitation group and 15.8% in control group. However, the difference in the incidence of complications was not significant between the two groups （P〉0.05）. Conclusion Early rehabilitation treatment can promote the recover of nerve function, improve the quality of life and reduce the incidence of complications in patients with acute cerebral infarction.