三期康复干预对偏瘫患者日常活动能力的影响

目的:探讨6个月内康复干预对脑卒中后偏瘫患者日常活动能力的影响。方法:80例发病3周内的脑卒中偏瘫患者随机分成对照组和康复组,对照组进行一般临床治疗,康复组早期介入康复训练,在入组前、发病1个月、3个月、6个月分别用改良Barthel指数评价日常活动能力。结果:在发病1个月时,康复组的修饰、用厕、穿衣三项能力与对照组比较差异有显著性意义(P<0.05),在发病3个月时,除上述能力进一步存在组间差异外,转移、行走、上下楼三项能力两组间比较差异有显著性意义(P<0.05),在发病6个月时,除大便控制两组间差异无显著性意义(P>0.05)外,其余各项两组间比较差异有显著性意义(P<0.05)。结论:康复的早期干预有利于大多数患者的ADL项目的改善。

Effects of 3 phases rehabilitation on ADL in hemiplegia after stroke

Objective:To investigate the effects of 6 months rehabilitation on ADL in hemiplegics after stroke. Method:80 hemiplegia patients(<3 weeks) were randomly divided into rehabilitation group and control group.The patients in the control group were just only received drug treatment,and rehabilitation group were given regularly physical training except drug treatment.The evaluation was done pre-treatment and 1mon, 3mon, 6 mon post-treatment. ADL was assessed with Barthel index(BI).Result:At 1mon after stroke,rehabilitation group was significant higher than those of control group(P<0.05)in personal hygiene,toilet and dressing ability. At 3mon after stroke,rehabilitation group was significant higher than those of control group(P<0.05) in transfer, walking and down-up stairs ability except bladder/rectum control,feeding and showing. At 6 month rehabilitation group was significant higher than those of control group(P<0.05) in 9 items except rectum control.Conclusion:Early rehabilitation training is useful for improving most of ADL items of patients with hemiplegia.