Abstract: ObjectiveTo observe the effect of early rehabilitation and insulin treatment on acute cerebral infarction. Methods160 cases with acute cerebral infarction (without diabetes and the serum glucose were all above 6.7 mmol/L) were divided into treatment group and control group. Each case of both groups was treated with routine treatment, and those in the treatment group were treated with insulin instantly and early rehabilitation in the first day after onset when physical signs were stable and conditions didn't deteriorate. They were assessed with Neurological Impairment, Fugl-Meyer Assessment and Barthel Index 4 weeks after treatment. ResultsCompared with the control group, the neurological function improved obviously in the treated group (P＜0.05). ConclusionEarly rehabilitation and insulin treatment can improve neurological function and the activity of daily living.

Key words: early rehabilitation, insulin treatment, acute cerebral infarction, hyperglycemia