120例急性脑卒中患者的早期康复治疗

目的:探讨早期康复介入对急性脑卒中患者的运动功能和日常生活活动(ADL)能力的影响。方法:将120例急性脑卒中患者随机分为康复组和对照组各60例,均接受神经内科常规药物治疗,康复组同时接受早期康复治疗。2组于治疗前、治疗后1个月进行神经功能缺损评分,并以Barthel指数(BI)评定ADL能力。结果:治疗1个月后康复组神经功能缺损评分明显低于对照组(P<0.05),BI评分及BI增加值明显高于对照组(P<0.05及P<0.01)。结论:早期康复治疗可明显提高脑卒中患者的运动功能,降低致残率,提高ADL能力。

Effects of Early Rehabilitation Therapy on 120 Patients with Acute Strokes

Objective: Effect of early rehabilitation therapy on motor function and activity of daily living in patients with acute strokes has been observed.Methods: One hundred and twenty patients with acute strokes were randomly divided into groups rehabilitation and control(n=60 in each group).The patients in the rehabilitation group had received both routine and early rehabilitation therapies.Scores of neurological functional impairment and activities of daily living were documented before the treatment and 1 month after treatment.Results: Before the treatment,there was no significant difference in the functional impairment score between the two groups.But after treatment,difference in the scores between the two groups was significant(P<0.05).After the treatment,BI score showed a significant difference between the two groups(P<0.05),and the increased score of BI was significant(P<0.01).Conclusion: Early rehabilitation therapy on patients with acute strokes can significantly decrease disability,enhance motor function and improve the ability of daily living.