《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (06): 494-495.

• 临床研究 • 上一篇    下一篇

脑卒中患者早期双侧肢体康复训练疗效观察

田景绘; 靳淑慧   

  1. 焦作煤业集团中央医院一分院 河南焦作市 454191
  • 收稿日期:2005-10-20 出版日期:2006-06-25 发布日期:2006-06-25

Effect of Early Bilateral Limbs Rehabilitation on Stroke Patients

TIAN Jing-hui, JIN Shu-hui   

  1. The First Branch of Center Hospital of Jiaozuo Coal Industry Group, Jiaozuo 454191, Henan, China
  • Received:2005-10-20 Published:2006-06-25 Online:2006-06-25

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摘要： 目的观察早期双侧肢体康复训练对恢复脑卒中患者神经功能的作用。方法60例急性脑卒中患者分成双侧和单侧治疗组各30例,对双侧治疗组患者进行健侧、患侧肢体交替训练,对双侧肢体同时进行电刺激;单侧治疗组仅进行患侧肢体康复训练,并对患侧肢体进行电刺激。治疗4周,比较两组患者治疗后神经功能缺损评分(NDE)、肢体运动功能和日常生活能力的改善情况。结果治疗后,双侧治疗组患者的NDE评分、Fugl-Meyer评分(FMA)和改良Barthel指数(MBI)评定均明显好于单侧治疗组(P<0.01)。结论早期康复治疗可以促进脑卒中患者神经功能的恢复,且双侧肢体康复训练优于单侧训练。

关键词: 脑卒中, 早期康复, 双侧肢体训练

Abstract: ObjectiveTo observe the effect of early bilateral limbs rehabilitation on nerve function of stroke patients.Methods60 cases of acute stroke were divided into unilateral group and bilateral group with 30 cases in each group. Cases in bilateral group were treated by training healthy side and sick side limbs alternatively and electric stimulating bilateral limbs at same time. Cases in unilateral group were treated only on sick limbs (both training and electric stimulating). After 4 weeks treatment, neurological deficit evaluation (NDE), motor function and activities of daily living of all cases in two groups were assessed.ResultsAfter treatment, scores of NDE, Fugl-Meyer Motor Assessment Scale and Barthel index of patients of bilateral group were 9.9±4.52, 71.21±22.43 and 78.6 ± 20.17 respectively. Those of patients of unilateral group were 13.46±9.2, 52.21±17.68 and 54.2±16.34 respectively. There was a significant difference between two groups (P<0.01) after 4 weeks treatment.ConclusionEarly rehabilitation can improve nerve function of stroke patients and the effect of bilateral limbs rehabilitation is better than that of unilateral limbs rehabilitation.

Key words: stroke, early rehabilitation, bilateral limbs training