卒中单元早期康复治疗对急性脑卒中患者疗效的影响

目的探讨卒中单元早期康复对急性脑卒中患者运动功能及日常生活能力恢复的影响。方法将我院脑系科住院急性脑卒中患者共103例，随机分为康复组（52例）和对照组（51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及作业疗法，观察运动功能积分（FAM）、日常生活活动能力（BI指数）变化情况，分析早期康复的效果。结果康复组在治疗1个月、2个月末的FAM、BI指数均明显优于对照组，组间差异具有统计学极显著意义（P〈0．01），且早期康复组并发症较对照组明显减少（P〈0．01）。结论急性脑卒中患者早期康复的介入能够有效恢复患者的运动功能，提高日常生活能力，并减少并发症的发生。

Effects of early rehabilitation training on the recovery of nervous function in acute stork patients in the stroke unit

Objective To observe the effect of early rehabilitation intervention on the recovery of motor function and activites of daily living（ADL） in acute stroke patients in the stroke unit. Methods A total of 103 stroke patients were recruited and randomly divided into rehabilitation group （52 patients） and control group （51 patients）. The patients in the rehabilitation group were treated with medications therapy, physical therapy（PT） and occupational therapy（OT）. The patients in the control group were treated with medications therapy alone. All the patients were assessed with Fugl-Meyer（FAM） and modified Barthel index （MBI） at admission at end of one month therapy, and two months therapy. Results There was no significant difference between rehabilitation group and control group with regard to FAM and MBI at admission. The scores of FAM and MBI were increased after therapy. The difference between the two groups after therapy was significant （P 〈0. 01 ）, and the complications in rehabilitation group were decreased significantly （ P 〈 0. 01 ）. Conclusion Early rehabilitation intervention could improve the motor function and ADL of the stroke patients, and reduce the complication.