卒中单元对急性脑血管病患者运动功能康复的影响

目的观察卒中单元对急性脑血管病患者运动功能康复的影响。方法将2006年7月-2008年1月我院收治的急性脑血管病患者262例，随机分成卒中单元组及对照组，分别于治疗前及治疗8周后采用Barthel指教法和Fugl—Meyer法对两组患者的日常生活活动（activity of daily living，ADL）能力和运动功能进行评定。结果治疗前两组的Barthel和Fusl—Meyer积分相近，差异均无统计学意义（P〉0．05）；治疗8周后两组的评分有显著性差异（P〈0．01）。结论卒中单元通过缩短治疗开始的时间窗、团队的协调运作、专业技术的运用能有效提高急性脑血管病患者的运动功能。

The impact of stroke unit on motor function outcome of patients with acute cerebrovascular disease

Objective To observe the stroke unit of patients with acute cerebrovascular disease rehabilitation of motor function and its mechanism. Methods 262 cases of patients with acute cerebrovascular diseaase patients from July 2006 to January 2008. All the patients were assigned either into stroke unit group or comparison group. Barthel index and Fugl-meyer Scale were used to assess ADL and motor function at pre-therapy and 8 weeks post-therapy, respectively. Results The two groups before treatment Fugl-Meyer and Barthel similar points, no statistically significant difference （ P 〉 0.05 ） ; treatment for 8 weeks after the two groups score significant difference （ P 〈0.01 ） . Conclusion Stroke unit to start by shortening the treatment time window, the peration of the team＇s conditioning, the use of technology can effectively improve the acute cerebrovascular disease in patients with motor function and ability of ADL .