《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (12): 1086-1087.

• 临床研究 • 上一篇    下一篇

急性脑卒中早期综合康复疗效观察

薛迎红; 金鑫; 吴小未; 黄碧波; 李卫东; 王伟; 韩金凤   

  1. 首都医科大学附属复兴医院神经内科,北京市 100038
  • 收稿日期:2006-06-09 出版日期:2006-12-01 发布日期:2006-12-01

Effect of Early Multidisciplinary Rehabilitation Therapy on Stroke Patients

XUE Ying-hong, JIN Xin, WU Xiao-wei, et al   

  1. The Department of Neurology, Fuxing Hospital Affiliated to Capital University of Medical Sciences, Beijing 100038, China
  • Received:2006-06-09 Published:2006-12-01 Online:2006-12-01

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被引次数

78

摘要： 目的观察早期综合康复对急性脑卒中患者的疗效。方法80例急性脑卒中患者随机分为康复组和对照组各40例,给予神经内科常规治疗,康复组在此基础上进行早期综合康复治疗;治疗前和治疗1个月后,采用美国国立卫生研究院卒中量表(NIHSS)、Fugl-Meyer评定量表(FMA)和Barthel指数(BI),评定两组患者的神经功能、肢体运动功能与日常生活活动能力。结果治疗前,两组患者的NIHSS、FMA及BI评分差异无显著性意义(P>0.05);治疗1个月后,康复组患者的各项评分均明显高于对照组(P<0.01)。结论早期综合康复治疗能促进急性脑卒中患者神经功能的恢复,提高其生活质量。

关键词: 脑卒中, 综合康复, 运动功能, 日常生活活动能力

Abstract: Objective To observe the effect of early multidisciplinary rehabilitation therapy on stroke patients.Methods 80 cases of acute stroke were randomly divided into the rehabilitation group (n=40) and control group (n=40). All patients of two groups were treated with routine treatment, and those of the rehabilitation group were added with early multidisciplinary rehabilitation therapy. The degrees of clinical neural function defect, motor function and activities of daily living (ADL) of all patients in two groups were assessed by the clinical neural function defect assessment (NIHSS), Fugl-Meyer Assessment (FMA) and Barthel Index (BI) before and one month after treatment.Results The scores of NIHSS, FMA and BI of patients in two groups were not different before treatment ( P>0.05). After treatment, the scores of patients of the rehabilitation group were significantly higher than that of the control group ( P<0.01).Conclusion Early multidisciplinary rehabilitation therapy can improve the neural function, ADL and raise the quality of life of post stoke patients.

Key words: stroke, comprehensive rehabilitation, motor function, activities of daily living