超早期康复训练对急性脑卒中偏瘫患者运动功能及日常生活能力的影响

摘要

Objective Explore the ultra -early rehabilitation training on stroke patients treatment limb motor function and activities of daily living .Methed Elected in January 2 0 1 2 January 2 0 1 3 acute stroke patients admitted to our hospital neurology 1 6 4 cases were randomly divided into rehabilitation group (8 2 cases) and con-trol group (8 2 cases) .While patients were conventional drug treatment ,rehabilitation group ultra -early reha-bilitation training one on one in the control group did not receive rehabilitation treatment ,both groups were in stable condition 4 8 hours after four weeks of treatment and evaluation method using FugI -Meyer motor func-tion score by Barthel index score of daily living .Result Rehabilitation group Fugl -Meye score ,Barthel index scores were significantly higher ( P<0 .0 0 0 1 ) .Conclusion Conventional drug therapy plus ultra of early reha-bilitation training on functional recovery in acute stroke patients have a good role in promoting .%目的：探讨超早期康复训练对脑卒中偏瘫患者肢体运动功能及日常生活能力（ADL ）的治疗效果。方法入选2012年1月至2013年1月我院神经内科收治的急性脑卒中偏瘫患者164例，随机分为康复组（82例）和对照组（82例）。两组患者均常规药物治疗的同时，康复组超早期进行一对一康复训练，对照组未接受康复治疗，两组分别在病情稳定48 h后和治疗4周采用Fug I －M eyer评定法对运动功能评分，用Barthel指数评分对日常生活能力评定。结果康复组的Fugl－Meye评分、Barthel指数评分均显著高于对照组（P＜0．0001）。结论常规药物治疗加超早期康复训练对急性脑卒中偏瘫患者功能恢复有良好的促进作用。