持续康复对脑干梗死的疗效观察

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.%Objective To observe the effect of continual rehabilitation on patients with brainstem infarction. Methods 52 stroke patients with brainstem infarction were divided into early rehabilitation group (n 26) and continual rehabilitation group (n=26). 2 groups received early rehabilitation for 1 month. Then the continual rehabilitation group continued rehabilitation in the rehabilitation unit, while the early rehabilitation group just received the medical guide after discharge. Fugl-Meyer Assessment (FMA), the Balance subscale of the Fugl-Meyer test (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 performance of activities of daily living improved in the continual rehabilitation group (P＜0.05). Compared with the early rehabilitation group, the continual rehabilitation group significantly improved in FMA, FMA-B and MBI 3 months after the rehabilitation (P＜0.05). There was a positive correlation in the scores among FMA and FMA-B and MBI. Conclusion The continual rehabilitation is benefit to the motor function and balance function and ADL of the patients with brainstem infarction.