早期作业疗法对脑卒中患者的康复作用

目的更快、更有效地促进脑卒中患者全面康复。方法将72例脑卒中患者随机分为2组，观察组36例在生命征稳定后采用运动疗法（PT）的同时实行系统的作业疗法（OT），对照组36例在生命体征稳定后进行PT2周后增加OT，疗程均为6周。于治疗前、治疗2、4、6周时进行神经功能缺失（FMA）评分和改良Barthel指数（MBI）评分。结果治疗后2、4、6周FMA、MBI评分两组与治疗前比较显著提高（均P〈0.05），且观察组显著高于对照组（均P〈0.05）。结论OT的早期应用可促进脑卒中患者全面康复，与PT同时进行可显著提高疗效。

Rehabilitation Effectivness of Occupational Therapy for Patients with Stroke

Objective To promote overall rehabilitation of the patients with stroke more quickly and effectively.Methods Seventy-two patients with stroke were randomly divided into 2 groups. Thirty-six patients in the observation group received physiotherapy and occupational therapy after vital signs stabilized,and the ramaining 36 patients received physiotherapy in the first 2 weeks and then occupational therapy.The rehabilitation therapy of both groups lasted for 6 weeks and the scores for Fugl-Meyer Assessment (FMA) and Modified Barthel Index (MBI) were examined before and 2,4 and 6 weeks after rehabilitation respectively. Results The FAM score and MBI score were increased 6 weeks after rehabilitation therapy in both groups (P<0.05 for all). The FAM score and MBI score in the observation group were significatly higher than in the control group (P<0.05 for all). Conclusion Occupational therapy can promote the rehabilitation of the patients with stroke.The combined use of occupationd therapy and physical therapy can significantly improve curative effects.