早期康复对脑梗死患者神经功能、日常生活能力及精神障碍的影响

目的观察早期康复对脑梗死患者神经功能、日常生活能力及精神障碍的影响。方法 213例急性脑梗死患者随机分为康复组（108例）和对照组（105例）,均进行常规药物治疗,康复组患者同时接受早期综合康复治疗;对照组患者未进行系统的早期康复治疗。分别于治疗前和治疗后3个月采用美国国立卫生研究院卒中量表（NIHSS）、Barthel指数（BI）、汉密尔顿焦虑量表（HAMA）和汉密尔顿抑郁量表（HAMD）等评价治疗效果。结果治疗3个月后,两组患者神经功能缺失明显减轻（P均〈0.05）,但康复组改善更明显（P〈0.05）。治疗后康复组患者BI高于对照组（P〈0.05）,HAMA、HAMD评分低于对照组（P均〈0.05）。结论早期综合康复能明显改善急性脑梗死患者神经功能,提高日常生活能力,减轻焦虑、抑郁症状,有效提高患者生存质量。

Effect of Early Rehabilitation on Neurologic Impairment,Activity of Daily Living and Mood Disorders in Patients with Cerebral Infarction

Objective To observe the effect of early rehabilitation on neurologic impairment,activity of daily living and mood disorders in patients with cerebral infarction. Methods Two hundred and thirteen cerebral infarction patients were divided into the rehabilitation group（108 cases） and control group（105 cases）. All the patients in two groups were given routine clinical treatment,but the patients in the rehabilitation group were given regular early rehabilitation while in the control group were not. All the patients were evaluated with NIHSS,Barthel index（BI）,Hamilton depression scale（HAMD） and Hamilton anxiety scale（HAMA） before and 3 months after treatment. Results After 3-month treatment,the patients in two groups showed significantly less neurological impairment（all P〈0. 05）,the improvement of patients in the rehabilitation group was more significant（P〈0. 05）. The BI score was higher but the HAMD and HAMA scores were lower in the rehabilitation group in contrast with those in the control group（ all P〈0. 05）. Conclusion The early rehabilitation applied to patients with acute stroke can obviously improve the patients＇ neurological function and ADL index,decrease their anxiety and depression,and improve their quality of life.