《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (8): 727-729.

• 论文 • 上一篇    下一篇

持续康复对脑干梗死的疗效观察

高淑凤，焦丽琴   

  1. 北京市丰台区铁营医院，北京市 100079。
  • 收稿日期:2011-02-22 修回日期:2011-06-17 出版日期:2011-08-25 发布日期:2011-08-25

Effect of Continual Rehabilitation on Brainstem Infarction

GAO Shu-feng, JIAO Li-qin,   

  1. Department of Neurology, Tieying Hospital,Beijing 100079, China
  • Received:2011-02-22 Revised:2011-06-17 Published:2011-08-25 Online:2011-08-25

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摘要： 目的探讨持续康复对脑干梗死的疗效。方法52 例脑干梗死患者分为短期康复组和持续康复组。短期康复组在早期康复1 个月后出院，给予指导性康复训练，持续康复组继续留在卒中病房进行康复训练。两组在康复治疗前、治疗后1 个月、3个月时分别采用Fugl-Meyer 评定法(FMA)、Fugl-Meyer 平衡功能评定法(FMA-B)和Barthel 指数(MBI)进行肢体运动功能、平衡功能及日常生活活动能力的比较。结果持续康复组治疗前后相比肢体运动功能、平衡功能及日常生活活动能力均有改善(P<0.05)。与短期康复组比较，治疗3 个月后两组间FMA 评分、FIM-B 评分、MBI 评分均有显著性差异(P<0.05)。FMA 评分、FIM-B 评分、MBI 评分三者之间呈正相关。结论持续康复组效果优于短期康复组，且有利于提高脑干梗死患者的运动功能、平衡功能和日常生活活动能力。

关键词: 脑干梗死, 持续康复, 运动功能, 平衡功能, 日常生活活动能力

Abstract: Objective To observe the effect of continual rehabilitation on patients with brainstem infarction. Methods 52 stroke patientswith brainstem infarction were divided into early rehabilitation group (n=26) and continual rehabilitation group (n=26). 2 groups receivedearly rehabilitation for 1 month. Then the continual rehabilitation group continued rehabilitation in the rehabilitation unit, while the early rehabilitationgroup just received the medical guide after discharge. Fugl-Meyer Assessment (FMA), the Balance subscale of the Fugl-Meyertest (FM-B), and modified Barthel Index (MBI) were applied to assess the motor function, balance function and the activities of daily living(ADL) in two groups respectively before and 1 month and 3 months after training. Results The motor function, balance function, the performanceof activities of daily living improved in the continual rehabilitation group (P<0.05). Compared with the early rehabilitation group, thecontinual rehabilitation group significantly improved in FMA, FMA-B and MBI 3 months after the rehabilitation (P<0.05). There was a positivecorrelation in the scores among FMA and FMA-B and MBI. Conclusion The continual rehabilitation is benefit to the motor functionand balance function and ADL of the patients with brainstem infarction.

Key words: brainstem infarction, continual rehabilitation, motor function, balance function, activities of daily living