早期康复治疗对脑卒中偏瘫患者平衡功能和日常生活活动能力的影响

目的:探讨早期康复治疗对脑卒中患者3个月和6个月后平衡功能和日常生活活动能力(ADL)的影响。方法:将80例脑卒中偏瘫患者随机分成康复组(40例)和对照组(40例)进行临床对照研究,两组均常规进行神经内科药物治疗,康复组加以运动疗法,对每例患者在入组时、病程3个月和6个月分别用Fugl-Meyer测试平衡功能和改良Barthel指数(MBI)测试ADL能力。结果:康复组3次平衡功能积分分别为2.71±2.42、8.74±2.02、10.28±2.35,MBI分别为20.66±13.45、67.72±18.90、80.55±16.33,对照组平衡功能为3.44±2.89、7.27±2.20、8.44±2.79,MBI为27.24±16.18、57.36±19.67、70.69±23.30;两组前后比较和组间比较差异均有显著性意义(P<0.05);两组的变化均数比较康复组6个月后平衡功能和ADL恢复优于对照组(P<0.001)。平衡功能和ADL呈正相关(r=0.791)。结论:早期康复治疗对脑卒中患者的平衡功能和日常生活活动能力有良好的促进作用。

Effects of early rehabilitation training on balance function and activities of daily living in patients with hemiplegia after stroke

Objective:To study the effect of early rehabilitation on balace function and activities of daily living(ADL) in patients with hemiplegia after stroke.Method:80 patients were randomly divided into two groups, the rehabilitation group(40 cases) and the control group(40 cases). Patients in the rehabilitation group were given clinical treatment and regularly physical therapy, while those in control group were given clinical treament and unguided self-training, and the evaluation was done in pre-treatment and 3 months and 6 months after stroke. Balance function was assessed with Fugl-Meyer and ADL was assessed with Modified Barthel Index(MBI).Result:The balace function scores and MBI scores in each groups and between two groups rised had a significant difference(P<0.05), the process of scores in the rehabilitation group were obviously superior to that in the control group(P<0.001).The balance function is positive correlation to ADL(r=0.791).Conclusion:Early rehabilitation training on the patients with hemiplegia after stroke may obviously improve balance function and ADL.