脑卒中残损评价表的临床应用

目的 :应用脑卒中残损评价表 (SIAS)探讨脑卒中偏瘫患者早期康复的疗效。方法 :5 0例急性脑卒中患者随机分为康复组和对照组各 2 5例 ,治疗药物基本相同 ,康复组同时接受康复治疗。康复组患者根据开始康复治疗的时间又分为康复A(病程 <12d)和康复B(病程 >12d)。所有患者治疗前和治疗 3个月时各进行 1次SIAS评定。结果 :治疗 3个月时康复组患者的运动功能、肌张力、躯干平衡、关节活动范围、疼痛分项评分及总分与对照组比较 ,均差异有显著性 ;感觉功能、视空间认知、语言及健侧肢体功能差异无显著性。康复A运动功能、肌张力分项评分和总分上均显著高于康复B。结论 :SIAS临床应用显示早期康复治疗可有效改善偏瘫患者的功能。

Clinical Application of Stroke Impairment Assessment Set

Objective:To explore the therapeutic effect of early rehabilitation by using stroke impairment assessment set (SIAS) in stroke patients. Methods: Fifty patients with acute stroke were assigned to the rehabilitation group (25 cases) and control group (25 cases) randomly. The treatment in two groups was almost the same except the patients in rehabilitation group were subjected to rehabilitation therapy. The rehabilitation group was divided into two subgroups: rehabilitation subgroup A receiving rehabilitation (duration less than 12 days) and rehabilitation subgroup B receiving rehabilitation (duration more than 12 days). At the beginning of therapy and 3 months later, therapeutic effect was assessed by using SIAS in all patients. Results: In comparison with the control group, part of item scores of SIAS including motor function, muscular tension, trunk balance, ROM, pain and SIAS total scores at 3 months was significantly different in the rehabilitation groups. Sensory function, visuospatial perception, aphasia and function of the unaffected side item scores were not statistically significant. The patients in the rehabilitation subgroup A got much better scores in SIAS motor function, muscular tension item scores and total scores than the rehabilitation subgroup B. Conclusion: The early rehabilitation after stroke can effectively improve the function of hemiplegic patients.