【摘要】 目的探讨早期康复训练对脑梗死患者偏瘫肢体运动功能恢复、日常生活活动能力(ADL)及继发性损伤的疗效。方法对160例首次住院的急性脑梗死偏瘫患者随机分为康复组(80例)和对照组(80例),均接受脑梗死常规药物治疗,对康复组同时进行早期康复训练。平均于病后6d开始,按照早期康复训练流程进行,时间21d,每日1次,每次1h。以简式Fugl-Meyer(FMA)评分法、Barthel指数进行治疗前后功能评定。结果康复组在肢体运动功能、ADL能力方面治疗后显著改善,与对照组比较有差异显著性(P<0.05),早期康复避免或减轻了继发性损伤,与对照组亦有差异显著性(P<0.05)。结论早期康复训练对促进脑梗死患者运动功能的恢复、提高ADL能力及防止继发性障碍是极为重要的治疗手段。更多还原

【Abstract】 [Objective] To study the effect of early rehabilitation training on motor function, activities of daily living (ADL) and secondary impairment of hemiplegia patients with cerebral infarction. [Methods] Patients in both rehabilitation group (80) and control group (80) were administered with toution cerebral infarction medicine, while early rehabilitation training was carried out in rehabilitation group. The training was averagely started 6 days after infarction according to early rehabilitation procedure, and last for 21 days, once a day, 1 hour for each time. The effect was evaluated by Fug1-Meyer (FMA) assessment and Barthel index. [Results] The motor function and ADL were significantly improved (P <0.05) in early rehabilitation group. Early rehabilitation training avoid or relieved the secondary lesion, which was significant compared with control group (P <0.05). [Conclusions] Early rehabilitation training has great significance to motor function recovery, ADL improvement and secondary impairment prevention of hemiplegia patients with cerebral infarction.更多还原