综合康复治疗急性脑血管病39例疗效观察

目的探讨早期康复治疗对急性脑血管病的影响。方法80例急性脑血管病患者分成,康复组39例和对照组41例,两组均给予神经内科常规治疗,康复组在病情稳定后予综合康复治疗,采用Bobath法和运动再学习、电疗、皮肤刺激。对两组神经功能缺损评分和临床疗效进行比较。结果康复组总有效率明显高于对照组(P<0.05);治疗后康复组神经功能缺损评分明显低于对照组(P<0.05);FMA和ADL评分明显高于对照组(P<0.01)。结论早期综合康复治疗可以改善急性脑血管病患者的神经功能,减轻废用综合症等并发症的发生,促进瘫痪肢体功能恢复,降低患者依赖程度,提高脑血管病的治疗效果。

Effects of combined rehabilitation on 39 cases of acute cerebrovascular disease

Objective To explore the effects of combined rehabilitation for treatment of patients with cerebrovascular disease.Methods Eighty patients were randomly divided into two groups: rehabilitation group(39 cases) and control group(41 cases).Routine treatment was given in two groups.The rehabilitation group was received combined rehabilitation treatment after stable pathogenetic condition was obtained,performed with Bobath methods,motorrelearning programme(MRP) and stimulation of skin.Neurologic impairment scoring were conducted in two groups and clinical efficacy was compared.Results The total effective rate in rehabilitation group was obviously higher than control group(P<0.05).Score of neurologic impairment in rehabilitation group was obviously lower than that in control group(P<0.05).Scores of FMA and ADL in rehabilitation group were obviously higher than those in control group(P<0.01).Conclusion The early combined rehabilitation may improve the functional status in acute stroke patients,decrease disuse syndrome,improve functional recovery of the affected limbs,decrease dependency level of patients and increase curative effects of cerebrovascular disease.