《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (02): 150-151.

• 临床研究 • 上一篇    下一篇

康复介入时间对脑出血患者功能恢复的影响

彭化生; 袁春兰   

  1. 菏泽市第三人民医院神经内科康复中心 山东菏泽市 274031
  • 收稿日期:2005-07-13 出版日期:2006-02-25 发布日期:2006-02-25

Effect of Rehabilitation Time on Functions of Patients with Intracerebral Hemorrhage

PENG Hua-sheng, YUAN Chun-lan   

  1. The Rehabilitation Center of Neurology Department, The Third People's Hospital of Heze, Heze 274031, Shandong, China
  • Received:2005-07-13 Published:2006-02-25 Online:2006-02-25

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被引次数

43

摘要： 目的探讨康复介入时间对脑出血患者运动功能和日常生活活动能力(ADL)的影响。方法76例脑出血患者分为早期康复组40例和晚期康复组36例。早期康复组在生命体征稳定、神经病学体征不再进展后48h～7d开始康复训练;晚期康复组在发病后3～4周开始康复训练。两组均采用以Bobath为主的运动疗法进行康复训练。采用Fugl-Meyer运动功能评定法(FMA)评定患者的运动功能;用修订的Barthel指数(MBI)评定患者的ADL;用脑卒中患者临床神经功能缺损程度评分(ND)评定患者的病情严重程度。结果两组患者的FMA、MBI和ND治疗前无显著性差异,治疗1个月后各项评分均较治疗前有明显改善,但早期康复组的改善程度更大。结论早期和晚期康复均能明显改善脑出血患者的运动功能和ADL,但早期康复介入的疗效更佳。

关键词: 脑出血, 运动功能, 日常生活能力, 早期康复

Abstract: ObjectiveTo investigate the effect of rehabilitation time on the motor function and activities of daily living (ADL) of patients with intracerebral hemorrhage.Methods76 patients were randomly divided into the early rehabilitation group (40 cases) and late rehabilitation group (36 cases). The patients of two groups were treated with Bobaths method. The starting times of rehabilitation were 48 h～7 d (early rehabilitation group) and 3～4 weeks (late rehabilitation group) after onset. The therapeutic effect was assessed with Fugl-Meyer Motor Assessment Scale (FMA), modified Barthel index (MBI) and neurological deficit evaluation (ND).ResultsThe scores of the FMA, MBI and ND were not different between two groups before treatment. After one month treatment, the scores of patients in two groups improved significantly, but the early rehabilitation group had a greater improvement compared with the late rehabilitation group. Conclusion Early rehabilitation and late rehabilitation can also facilitate the motor function and ADL of patients with intracerebral hemorrhage recovery, and the therapeutic effect of early rehabilitation is better than late rehabilitation significantly.

Key words: intracerebral hemorrhage, motor function, activities of daily living (ADL), early rehabilitation