《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (12): 1163-1164.

• 临床研究 • 上一篇    下一篇

早期康复干预对急性脑梗死患者神经功能及脑血流的影响

甘照儒; 王庆武; 刘海兰; 蔡超群; 杨文新   

  1. 广西中医学院附属瑞康医院神经内科,广西南宁市 530011
  • 收稿日期:2008-09-02 出版日期:2008-12-01 发布日期:2008-12-01

Effect of Early Rehabilitation on Neurological Function and Cerebral Blood Flow of Patients with Acute Cerebral Infarction

GAN Zhao-ru, WANG Qing-wu, LIU Hai-lan, et al   

  1. The Department of Neurology, RuikangHospital Affiliated to Guangxi Traditional Chinese Medicine University, Nanning 530011, Guangxi, China
  • Received:2008-09-02 Published:2008-12-01 Online:2008-12-01

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摘要： 目的探讨早期康复干预对急性脑梗死患者神经功能及脑血流的影响。方法将100例脑梗死偏瘫患者随机分为康复治疗组(53例)和对照组(47例),两组均进行常规神经内科药物治疗,康复治疗组加以早期康复治疗;每例患者入组时和治疗第30天分别进行神经功能缺损评分,同时应用经颅多普勒(TCD)进行脑血流检测。结果治疗后,两组患者的神经功能缺损评分均较治疗前降低,但康复治疗组的降低幅度明显大于对照组(P<0.01),TCD各项指标的改善也较对照组明显(P<0.01)。结论早期康复治疗对急性脑梗死偏瘫患者的神经功能和脑血流有明显改善作用。

关键词: 急性脑梗死, 早期康复, 神经功能, 经颅多普勒

Abstract: Objective To investigate the effect of early rehabilitation on neurological function and cerebral blood flow of patients with acute cerebral infarction.Methods100 cases of acute cerebral infarction were randomly divided into the rehabilitation group(53 cases) and control group(47 cases).Both groups received the routine treatment;besides,patients in the rehabilitation group were treated with early rehabilitation training.The treatment efficacy was assessed by neurological function deficit evaluation,and the cerebral blood flow was measured by transcranial Doppler(TCD) before and 30 days after treatment.ResultsThe scores of neurological function deficit evaluation of all patients in each group decreased after treatment,but the scores of the rehabilitation group were obviously lower than that of the control group(P<0.01);and the results of TCD of the rehabilitation group were also superior to that of the control group(P<0.01).ConclusionEarly rehabilitation training may obviously improve neurological function and cerebral blood flow of patients with acute cerebral infarction.

Key words: acute cerebral infarction, early rehabilitation, neurological function, transcranial Doppler