【摘要】 目的 探讨脑卒中早期康复治疗与功能恢复之间的关系及影响功能恢复的因素。方法 采用各种量表评分追踪观察了128例脑卒中患者,康复组50例,对照组78例。结果 全部患者治疗30天后各量表评分值与治疗前比较有显著性差异;除巴氏指数外,两组治疗30天后与治疗前各评分值的差值及增/减分率无显著性差异;多元线性回归分析发现认知障碍、失语、尿便失禁等对神经功能恢复有影响。结论 脑卒中后一个月,存在一个自然康复的过程;认知障碍、失语、尿便失禁等可影响功能恢复;脑卒中早期康复治疗的作用有待进一步探讨。更多还原

【Abstract】 Objective To investigate the correlation between early onset of rehabilitation interventions after stroke and improved functional outcome, and factors affecting functional outcome. Methods With prospective study, we observed 128 stroke patients, including 50 patients with early onset of rehabilitation interventions and 78 control patients. Several scales were used for functional measure. Results In all patients, there were significant differences in the functional assessments between those given 30 days after rehabilitation and before rehabilitation. Considering the difference mentioned above, there was no difference between rehabilitation group and control group, except for that assessed by Bathol index. Multiple linear regression analysis revealed that the following factors may affect functional outcome after stroke: poor congnitive function, dysphasia, and incontinence. Conclusions Functional recovery occurs naturally within the first month follwing stroke; Poor congnitive function, dysphasia and incontinence can affect functional recovery after stroke; The effect of early onset of rehabilitation intervention needs further investigation.更多还原