早期康复治疗对急性脑梗死影响的临床研究

目的探讨早期康复治疗对急性脑梗死临床治疗效果的影响。方法选择我院2007年12月至2009年12月急性脑梗死患者83例，将以上患者随机分为两组，观察组和对照组。观察组患者在发病后14d内在常规神经内科治疗基础上行康复治疗。对照组患者发病后15—30d内在神经内科治疗基础上进行康复治疗。两组患者治疗前和治疗后，采用美国国立卫生研究院脑卒中评分（NIHSS）对患者进行神经功能缺损程度进行评定；采用Fugl—Meyer评定法对运动功能进行评分；采用MBI（modified barthelindex）对患者日常生活能力进行评分。结果观察组治疗后NIHSS评分与对照组治疗后比较，差异有统计学意义（P〈0．05）；观察组治疗后Fugl-Meyer评分与对照组治疗后比较，差异有统计学意义（P〈0．05）；观察组治疗后MBI评分与对照组治疗后比较，差异有统计学意义（P〈0．05）。结论早期康复治疗能够显著改善急性脑梗死患者神经功能，有利于提高肢体运动能力和日常生活活动能力，临床效果显著，值得借鉴。

Research of clinical efficacy of early rehabilitation on acute cerebral infarction

Objective To explore the clinical efficacy of early rehabilitation on acute cerebral infarction. Methods 83 cases with acute cerebral infarction were selecte from De. ,2007 to De. ,2009, and were randomly divided into two groups, observation group and control group. On the base of the routine therapy, rehabilitation therapy was used to observation group in 14 days after the onset of acute cerebral infarction. Rehabilitation therapy was used to observation group in 15 ～ 21 days after the onset of acute cerebral infarction. NIHSS was used to detect the neurologic impairment. Fugl-Meyer scale was used to evaluate the moter function, MBI (modified barthel index) was used to evaluate the activities of daily living before and after treatment. Results The scores of NIHSS in observation group compared with that in control group after treatment, there was statistical difference(P＜0.05); the scores of Fugl-Meyer scale in observation group compared with that in control group after treatment, there was statistical difference(P＜0.05); the scores of MBI in observation group compared with that in control group after treatment, there was statistical difference (P＜0.05).Conclusion Early rehabilitation can improve the nerve function of acute cerebral infarction, and is helpful to increas the moter function and the activities of daily living, the clinical efficacy is significant, and the therapy should be the reference for doctors.