《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (06): 571-573.

• 临床研究 • 上一篇    下一篇

早期综合康复治疗对脑卒中患者功能恢复的影响

巩尊科;翟宏伟;陈伟;尉志刚;孙海云   

  1. 江苏省徐州市中心医院康复医学科,江苏徐州市 221009
  • 收稿日期:2009-02-11 出版日期:2009-06-01 发布日期:2009-06-01

Early Rehabilitation on Function Recovery in Stroke Patients

GONG Zun-ke, ZHAI Hong-wei, CHEN Wei, et al   

  1. the Department of Rehabilitation Medicine, Xuzhou Central Hospital, Xuzhou 221009, Jiangshu, China
  • Received:2009-02-11 Published:2009-06-01 Online:2009-06-01

摘要: 目的 探讨早期综合康复治疗对脑卒中患者功能恢复的影响。方法 将70例脑卒中患者分为康复组(38例)和对照组(32例)。两组患者均接受常规的神经内科治疗,康复组同时接受早期康复治疗。于治疗前及治疗后8周评定两组Brunnstrom运动功能分级、神经功能缺损程度、肢体运动功能(FMA评分)及日常生活活动能力(MBI评分)。结果 康复组Brunnstrom运动功能分级、神经功能缺损程度评分、FMA评分及MBI评分的改善均优于对照组(P<0.05)。结论 脑卒中患者的早期综合康复治疗,能改善患者的运动功能,促进神经功能恢复,提高日常生活活动能力。

关键词: 早期康复治疗, 脑卒中, 功能评定

Abstract: Objective To explore the effect of early rehabilitation on function recovery in stroke patients.Methods 70 patients were divided into two groups, rehabilitation group (38 cases) and control group (32 cases). Rehabilitation group was given clinical treatment and early rehabilitatio therapy, while control group was given clinical treatment and unguided self-training, and the evaluation was done in pre-treatment and eight weeks after the treatment respectively. Motor function of limbs was assessed in Brunnstrom grade and Fugl-Meyer Assessment (FMA), Neurological Function would be assessed with the scale of Clinical Neurological Function Defects (CNFD), and Activities of Daily Living was assessed in Modified Barthel Index(MBI). Results All scores in the rehabilitation group were superior to that in the control group (P< 0.05). Conclusion Early rehabilitation training on stroke patients may obviously improve motor function, promote neurological function and increasing the activities of daily living.

Key words: stroke, early rehabilitation, function assessment