急性脑卒中老人接受神经营养药物联合早期康复治疗的转归

在1年的时间里，对入住浙江大学附属第一医院老年病科的60例老年急性脑卒中患者给予神经营养药物联合早期康复治疗，借助Hunt-Hess 量表、功能独立性评测、简易智力测定量表和日常生活能力量表，对患者入院时和出院时的肢体运动、认知功能和日常生活自理能力变化做出了评估。纳入的60位患者平均住院时间35 d。出院时有40例患者存在不同程度的认知功能损害，56例接受康复治疗评估的脑卒中患者中，25例（45%）在日常生活方面获得了自理能力，11例（20%）日常生活的部分时间里需要有人照顾，20例（36%）在基本生活上需要全天24 h有人照顾。

Evaluation of the outcomes of early rehabilitation after neuroprotective therapy in the elderly patients with acute stroke

Sixty elderly patients, who suffered from acute stroke and were admitted within a 1-year period to the Department of Geriatrics in the First Affiliated Hospital of School of Medicine, Zhejiang University, China, underwent early rehabilitation in combination with neuroprotective drug therapy. Limb movement, cognitive functions and daily life self-care ability in elderly patients upon admission and discharge were assessed using the Hunt-Hess scale, functional independence measures and mini-mental state examination. The mean duration of hospital stay among the 60 patients was 35 days. Upon discharge, 42 (75%) of the patients exhibited cognitive impairment to varying degrees, and 25 (45%) of the 56 stroke patients who underwent rehabilitation evaluation attained independence in daily living activities, 11 (20%) required intermittent supervision, and 20 (36%) required 24-hour constant supervision during performance of these activities. Results demonstrated that early rehabilitation treatment in combination with neuroprotective therapy for acute stroke was effective.