《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (9): 865-867.

• 论文 • 上一篇    下一篇

综合康复干预对急性脑梗死患者功能恢复的影响

甄君1a，王俊峰1b，范建中2，韩蓉蓉1b，耿建红1a   

  1. 1.中山大学附属第五医院，a.康复医学科；b.神经科，广东珠海市 519000；2.南方医科大学南方医院康复医学科，广东广州市 510515。
  • 收稿日期:2011-06-01 修回日期:1900-01-01 出版日期:2011-09-25 发布日期:2011-09-25

Effect of Comprehensive Rehabilitation on Acute Cerebral Infarction

ZHEN Jun, WANG Jun-feng, FAN Jian-zhong, et al.   

  1. Department of Rehabilitation Medicine, The Fifth Affiliated Hospital of Sun Yat-Sen University, Zhuhai 519000, Guangdong, China
  • Received:2011-06-01 Revised:1900-01-01 Published:2011-09-25 Online:2011-09-25

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被引次数

6

摘要： 目的观察综合康复干预对急性脑梗死患者的运动功能、日常生活能力的影响。方法110 例急性脑梗死患者随机分为康复组与对照组，对照组采用药物治疗，康复组采用综合疗法，包括药物治疗、运动疗法、神经肌肉电刺激等。治疗前及治疗4周后分别采用简化Fugl-Meyer 评定(FMA)、改良Barthel 指数(MBI)进行评价，根据“临床神经功能缺损程度评分”评定临床疗效。结果所有患者治疗后的FMA、MBI 评分均较治疗前改善，康复组优于对照组(P<0.05)。康复组治疗有效率为75%，对照组为56%(P<0.05)。结论综合康复干预能促进急性脑梗死患者的肢体运动功能、日常生活活动能力的恢复。

关键词: 脑梗死, 康复, 运动功能, 日常生活活动能力

Abstract: Objective To observe the effect of comprehensive rehabilitation on the motor function and activity of daily living in patients with acute cerebral infarction. Methods 110 patients with acute cerebral infarction were randomly divided into rehabilitation group and control group. The patients in control group were treated with medicine, while the patients in rehabilitation group were treated with comprehensive therapy, including medicine, physical therapy and neuromuscular electrical stimulation. They were assessed with the simplified Fugl-Meyer assessment (FMA), modified Barthel index (MBI), and the clinical defect of neurol function before and 4 weeks after treatment. Results The scores of FMA and MBI improved significantly in both groups after treatment, and improved more in rehabilitation group than in control group (P<0.05). The effective rate was 75% in the rehabilitation group, and 56% in the control group (P<0.05). Conclusion Comprehensive rehabilitation can promote the recovery of motor function and activity of daily living in patients with acute cerebral infarction.

Key words: cerebral infarction, rehabilitation, motor function, activity of daily living