早期与晚期康复对脑梗死患者功能恢复影响的对照研究

目的:探讨早期与晚期康复对脑梗死患者功能恢复的影响。方法:选择216例脑梗死患者,其中早期康复组与晚期康复组各108例。早期康复组在患者生命体征稳定,神经病学体征不再进展后48h—14天开始康复。晚期康复组在发病后15—30天开始康复。两组均采用Bobath法和运动再学习法进行训练。采用改良Barthel指数(MBI)、简式Fugl-Meyer运动评分(FMA)和临床神经功能缺陷程度评分进行康复评价。结果:临床神经功能缺陷程度评分、FMA和MBI入选时两组差异无显著性意义(P>0.05),治疗30天两组均较治疗前明显改善(P<0.01),早期康复组较晚期康复组改善程度更大(P<0.01)。结论:早期与晚期康复均可明显促进神经功能恢复,早期康复的临床疗效明显优于晚期。目的:探讨早期与晚期康复对脑梗死患者功能恢复的影响。方法:选择216例脑梗死患者,其中早期康复组与晚期康复组各108例。早期康复组在患者生命体征稳定,神经病学体征不再进展后48h—14天开始康复。晚期康复组在发病后15—30天开始康复。两组均采用Bobath法和运动再学习法进行训练。采用改良Barthel指数(MBI)、简式Fugl-Meyer运动评分(FMA)和临床神经功能缺陷程度评分进行康复评价。结果:临床神经功能缺陷程度评分、FMA和MBI入选时两组差异无显著性意义(P>0.05),治疗30天两组

A contrary study of functional prognosis of patients with cerebral infarction treated with early rehabilitation or late rehabilitation

Objective:To investigate the effect on the functional prognosis of patients with cerebral infarction treated with early rehabilitation or late rehabilitation. Method: 216 patients were randomly divided into two groups.Early rehabilitation group and late rehabilitation group were treated with Bobaths and motor relearning programme method.The two groups were assessed by the clinical neural function-defect assessment set,concise Fugl-Meyer assessment(FMA) and modified Barthel index(MBI).Result:The scores of the clinical neural function-defect assessment set,FMA,MBI demonstrated:there were no different between two groups before teeatment, the scores improved significantly between pre-tranining and post-traning in the two groups,but the degree of improvement in the early rehabilitation group was significantly higer than that of the late rehabilitation group.Conclusion:Early rehabilitation and later rehabilitation can facilitate the function recovery ,and early rehabilitation is better to facilitate the function recovery in patients with cerebral infarction than late rehabilitation significantly.