摘要
目的：探讨急性脑卒中患者早期康复治疗的重要性、安全性及其对预后的影响。方法：将60例发病1周内的急性脑卒中患者随机分为早期康复组和对照组，每组30例。两组一般治疗相同，早期康复组由经过专业训练的治疗师给予系统的康复训练。采用临床功能缺损评分表、简式Fugl-Meyer运动评分(FMA)和修订的巴氏指数(MBI)定期对两组进行康复评价。结果：临床神经功能缺损评分、FMA评分、MBI评价结果显示，治疗前两组评分无显著性差异(P＞0.05)；治疗后，早期康复组评分明显优于对照组(P＜0.05)。结论：早期康复可以防止和减轻废用综合征的产生，促进功能恢复，对患者预后有良好的影响。监测病情、康复方案个化及康复训练循序渐进，可使脑卒中早期康复训练安全进行。
Objective:To prove the security and effects on the prognos is of patients after acute stroke during early rehabilitation.Method:60 patients whose length form stroke onset was within a week were randomly divi ded into early rehabilitation and control groups,each group consisted of 30 pati ents.All of them received routine treatment,further more,the early rehabilitatio n group were treated with systematic rehabilitation training by professiona l physiotherapists.The two groups were assessed by the clinical neu ral function defect assessment set,concise Fugl-Meyer assessed(FMA)and modifie d Barthel index(MBI).Result:The evaluation scores of the clinical ne rual function defect assessment set,FMA,MBI demonstrated that there were no sig nificant difference between two groups before treatment( P ＞0.05),but after t reatment,the evaluation scores in the early rehabilitation grou p were obviously before than those in the control group( P <0.05).Conclu sion:The early rehabilitation training could prevent and reduce the occurr ence of the disuse syndrome,facilitate the function recovery and gain the good results on the prognosis of patients.Monitoring of recovery status and individua lized staged rehabilitation protocol may insure the security of patients during rehabilitation training.
出处
《中国康复医学杂志》
CAS
CSCD
2000年第5期269-271,共3页
Chinese Journal of Rehabilitation Medicine
