急性脑卒中患者早期综合康复治疗的临床研究

目的：探讨早期综合康复治疗对脑卒中患者神经功能缺损、运动功能及日常生活活动能力（ADL）的影响。方法：72例急性脑卒中患者随机分为康复组及对照组，康复组在采用常规药物治疗同时，进行早期综合康复治疗；对照组仅采用常规药物治疗。治疗前后的运动功能和日常生活能力（ADL）分别用Fugl-meyer assessment（FMA）和改良的Barthel指数评定。结果：治疗后康复组患者神经功能缺损积分、运动功能和ADL的改善程度明显优于药物治疗组，差别具有显著性（P〈0．05）。结论：急性脑卒中患者早期综合康复治疗与单纯药物治疗相比，在降低其神经功能缺损积分，提高运动功能、ADL的积分上效果更好。

The Therapeutic Observation of Early Comprehensive Rehabilitation in the Acute Stroke Patients

Objective: To observe the effect of early rehabilitation intervention on deficits of neurological and motor function as well activities of daily life(ADL) in stroke patients.Methods: 72 patients with acute stroke were allocated randomly into 2 groups: rehabilitation group,in which they were treated by comprehensive rehabilitation including medications,and control group in which the patients were treated with medications only.Motor function and ADL of all the patients were assessed with FMA and Barthel before and after intervention.Results: The neurological deficits cores were decreased and the scores of motor function and ADL were increased after therapy in the two groups.There was a difference between the rehabilitation and the control group groups after therapy(P<0.05).Conclusions: It is better than medication that reduction of neurological deficit and increase of motor function and ADL were showed by early rehabilitation therapy.