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早期康复治疗急性脑卒中偏瘫患者的疗效观察

The effect observation of early rehabilitation treatment on the hemiplegic patients suffering from stroke.

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【作者】 郑华孙宝民吕燕华陈琳琳赵亚娟

【Author】 ZHENG Hua,SUN Bao-min,LvYan-hua,et al. Taian Central Hospital,Shandong (271000)

【机构】 泰安市中心医院泰安市精神卫生中心徐州市铜山中医院

【摘要】 目的:观察早期康复对急性脑卒中偏瘫患者的疗效。方法:将116例急性脑卒中患者随机分为两组各58例,均采用常规药物治疗,康复组同时接受早期康复治疗。分别于治疗前、治疗后1,3个月时采用Fugl-Meyer。评分和改良Barthel指数评定两组患者肢体运动功能和日常生活活动能力。结果:治疗前两组患者Fugl-Meyer评分和改良Barthel指数积分相似,差异无显著性(P>0.05)。治疗后1,3个月康复组患者Fugl-Meyer评分和Barthel指数评分显著高于对照组,差异有显著性(P-<0.05)。结论:早期康复治疗可以显著提高脑卒中患者的瘫肢运动功能及日常生活能力。

【Abstract】 Objective: To study the effect of rehabilitation treatment on the motor function in patients with cerebral infaction. Methods: 116 cases of acute stroke were randomly divided into a rehabilitation group and a control group. In rehabilitation group, the patients were treated with various facilitation techniques for 3 month.Fugl-Meyer scale and Modified Barthel Index were used to assess motor function and ADL at pre-therapy and 1,3 months past therapy respectively. Results: The scores of Fugl-Meyer and Modified Barthel Index in both groups were similar at pre-therapy stage,but the patients in the rehabilitation group demonstrate much higher scores in Fugl-Meyer and Barthel Index than those in the control group at the end of 1,3 months after rehabilitation therapy. Conclusion: Early rehabilitation therapy could effectively improve the motor function and ADL of hemiplegic patients.

【关键词】 脑卒中偏瘫早期康复
【Key words】 strokehemiplegiaearly rehabilitation treatment
  • 【会议录名称】 中国康复医学会第九届全国脑血管病康复学术会议论文汇编
  • 【会议名称】中国康复医学会第九届全国脑血管病康复学术会议
  • 【会议时间】2005-05
  • 【会议地点】中国广州
  • 【分类号】R493
  • 【主办单位】中国康复医学会脑血管病专业委员会、广州市康复中心、中山大学附属第一医院
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