【摘要】 目的探讨脑出血后不同时期介入康复治疗对患者运动功能及日常生活活动能力 (activitiesofdailyliving ,ADL)的疗效。方法对 2 0 8例脑出血患者的临床资料进行回顾性分析。根据康复治疗介入的时间 (≤ 1个月、1— 3个月、3— 6个月、6— 12个月和 12— 2 4个月 )将患者分为 5组 ,于治疗前及治疗后 2个月评定患肢的运动功能、ADL及步行能力。结果康复治疗介入时间≤1月组的患者其上下肢及手的运动功能、步行能力和ADL均有提高 (P <0 .0 5 ) ;1— 3个月和 3— 6个月组的患者除手功能无明显改善外 ,其余功能均有提高 (P <0 .0 5 ) ;6— 12个月组的患者其运动级别无改善 ,但步行能力和ADL均有提高 (P <0 .0 5 ) ;而 12—2 4个月组的患者只有ADL有提高 (P <0 .0 5 )。结论系统正规的康复治疗有利于脑卒中后不同时期康复的患者。康复医师应根据康复介入的时间 ,确定康复治疗的重点。更多还原

【Abstract】 ObjectiveTo observe the effect of the rehabilitation treatment on the motor function and activities of daily living(ADL) at different period after cerebral hemorrhage.Methods208 patients with cerebral hemorrhage were retrospectively analyzed. Patients were divided into five groups according to the disease course(≤1 month, 1-3 months, 3-6 months, 6-12 months and 12-24 months). Two months before and after rehabilitation treatment, the motor function of the involved limb, ADL and ambulation were assessed.ResultsAfter treatment the motor function of upper and lower limbs and hands, ambulation and ADL of ≤1 month group were improved( P<0.05); except for the hand motor function, 1-3months and 3-6 months group were also improved( P<0.05); the ambulation and ADL of 6-12 months group were improved( P<0.05), but the motor function had no change; in 12-24 months group only ADL improved.Conclusions Rehabilitation treatment do benefit for stroke patients in different periods. Treatment emphasis should vary with the start time of rehabilitation treatment.更多还原