目的：观察康复早期介入对脑卒中偏瘫后肩关节半脱位的影响。方法采用随机分组的方法，将患者分为观察组和对照组，每组30例。两组均接受早期神经科常规药物治疗和针刺、功能电刺激，观察组在此基础上早期适时配合康复训练指导。结果经过1个月的肩关节保护治疗后，观察组显效18例（60.0%），有效9例，无效3例，与对照组显效10例（33.3%）比较，差异有统计学意义（P<0.05）。结论早期康复介入同时配合针刺、功能电刺激能从根本上降低脑卒中偏瘫后肩关节半脱位的发生率。%Objective To observe the rehabilitation of early intervention impact on the shoulder subluxation after stroke hemiplegic. Methods Using the method of randomization, patients were divided into observation group and control group, 30 cases in each. Both groups received early neurological conventional drug therapy and acupuncture, functional electrical stimulation, observation group basing on this were also given early rehabilitation guidance timely. Results After a month of shoulder protection of treatment, 18 cases were effective (60.0%), 9 cases of observation group were improved, 3 cases were failed, and that of the control group was 33.3%(10/30). There was a signiifcant difference between the 2 groups(P<0.05). Conclusion Early rehabilitation in conjunction with acupuncture, functional electrical stimulation fundamentally can reduce the incidence of shoulder subluxation after stroke.
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