脑梗死后复视患者康复训练中不同时间介入主动运动的效果比较

目的探讨脑梗死后双眼复视患者康复训练中不同时间介入主动运动的效果。方法将40例脑梗死后双眼复视患者按发病住院时间分为2组，发病1-5d住院的患者设为观察组，共24例，住院当天常规药物等治疗的同时开始做主动运动的视物操训练；发病≥6d住院的患者为对照组，共16例，住院当天常规治疗的同时也开始做主动运动的视物操训练。经过10d常规治疗加主动运动的视物操训练后，评估2组患者复视恢复情况。结果观察组复视恢复有效率达95．8％（23／24），对照组复视恢复有效率为62．5％（10／16），2组比较差异有统计学意义（P〈0．05）。结论脑梗死后双眼复视患者康复训练中，主动运动在发病1-5d介入优于5d以后介入。

Effects of initiative movement intervention at different time for binocular diplopia patients after cerebral in-farction

Objective To compare the different effects of initiative movement intervention at different time- points for binocular diplopia patients after cerebral infarction. Methods Forty binocular diplopia patients after cer- ebral infarction were divided into two groups. Observation group included twenty-four cases who were in hospital since the symptoms emerge within five days. They began to do initiative movement video subjects practice when they accepted the conventional treatment. Sixteen cases who went to hospitals more than five days after thesymptoms emerge were as control group. They began to do initiative movement video subjects practice when they accepted the conventional treatment. After doing initiative movement video subjects practice with conventional treatment for ten days, the rehabilitations of the two group were compared. Results The diplopia recovery rate in observation group was 95.8% （23/24） and the diplopia recovery rate in control group was 62.5% （10/16） ; the difference was statis- tically significant （ P 〈 0.05 ）. Conclusion Initiative movement intervention in the rehabilitation of the cerebral in- farction patients after binocular diplopia has better effect within five days than five days later.