脑卒中急性期不同时间开始康复的初步探索

目的观察脑卒中急性期不同时间开始康复治疗的效果。方法将急性脑卒中患者120例随机分成3个不同时间开始康复训练3周的康复组和1个对照组，比较四组的康复效果。结果各康复组其简化Fugl—Meyer运动功能评定表（FMA）、Fugl—Meyer平衡功能评定表（平衡功能）、日常生活活动能力评定表（MBI）及汉密尔顿抑郁量表（HRSD）的评定数值与对照组比较差异有统计学意义（P〈0．01），而各康复组之间差异均无统计学意义（P〉0．05）。结论脑卒中早期康复治疗可以明显改善脑卒中患者运动功能、日常生活活动能力及情绪。脑卒中病情稳定8d内不同时间开始康复治疗的短期康复效果相仿。

A pilot study of forepart rehabilitation in acute stroke patients at different time point

Objective To observe the effect of early rehabilitation treatment at different time point on the motor function and activity of daily living (ADL) and emotion in acute stroke patients. Methods 120 patients with acute stroke were randomly assigned to three reha-bilitation groups and one control group according to the disease course (3 days, 5 days, 8 days when the disease is steady). Each group con-sisted of 30 eases. The patients in each group were treated with the regular medication therapy, rehabilitation groups were treated with com-prehensive rehabilitation treatment including Bobath technique therapy. Neurological deficit, motor function, balance function, ADL, emo-tion of all the patients were assessed before and 21 days after rehabilitation intervention. Results After treatment, the motor function, bal-ance function, ADL and emotion of each rehabilitation group were improved. The patients'rehabilitation scores in FMA, Fugl-Meyer balance function, MBI and HRSD got much better than that in control group. The difference was statistic significant. The effect of rehabilitation treat-ment did not show difference among rehabilitation groups. Conclusion Early rehabilitation treatment for acute stroke does benefit for stroke patients. Effect does not show vary with the start time of rehabilitation treatment within 8 days after acute stroke.