早期康复治疗对脑梗死患者运动及认知功能的影响

目的：探讨早期康复对脑梗死患者肢体运动功能，日常生活能力及认知功能恢复的影响。方法：选择首次发病的脑梗死患者50例，随机分为康复组和对照组（每组25例），康复组在给予常规治疗的同时分别给予正规的康复治疗，对照组仅给予神经科常规治疗，分别于康复治疗前当天和治疗后6周采用简式Fugl-Meyer评估（FMA）及Barthel指数分别评定肢体运动功能及日常生活能力（ADL），采用简明精神状态检查量表（MMSE）评估认知功能。结果：经6周康复治疗后，两组患者的肢体运动功能评分，ADL及认知功能评分均有明显改善，与对照组比较，康复组日常生活能力评分增高显著（P＜0．01），且下肢运动功能恢复明显，康复组认知功能评分与对照组比较无统计学差异，但康复组定向力及和改善明显优于对照组（P＜0．01），结论：早期康复能明显改善脑梗死患者的肢体运动功能及日常生活能力。

Effect of early rehabilitation on motor and cognitive functions in cerebral infarction patients

Objective To explore the effect of early rehabilitation on the recovery of the motor function, daily activities and congnitive function in the patients with cerebral infarction Methods A total of 50 patients with cerebral infarction were divided randomly into rehabilitation group (25 cases) receiving routine treatment of neuropathic and normal rehabilitation treatment, and control group (25 cases) only undergoing routine treatment The activities of daily living (ADL), motor and cognitive function were assessed with Barthel index, Fugl Meyer and MMSE assessment respectively before and 6 weeks after treatment Results After 6 weeks, the assessments indicated all patients were improved, with the improvement of ADL, motor function, directional ability, and memory function in rehabilitation group more significant than in control group ( P <0 01) Conclusion Treatment of early rehabilitation can improve the motor function, activities of daily lives and congnitive function evidently in the patients with cerebral infarction