【摘要】 目的 探讨早期综合康复治疗对脑卒中患者神经功能缺损、运动功能及日常生活活动能力(ADL)的影响。方法 106例急性脑卒中患者随机分为康复组及对照组,康复组在采用常规药物治疗同时,进行早期综合康复治疗；对照组仅采用常规药物治疗。28天后分别评价两组患者的神经功能缺损程度、运动功能及ADL。结果 所有受试者治疗后神经功能缺损积分均明显减少,运动功能、ADL积分均明显增加,两组的变化均数相比,差异具有显著性(P<0.05)。结论 急性脑卒中患者早期综合康复治疗与单纯药物治疗相比,在降低其神经功能缺损积分,提高运动功能、ADL的积分上效果更好。

    【关键词】 急性脑卒中;早期康复;神经功能缺损;运动功能; 日常生活活动能力

    Clinical study of early rehabilitation therapy of stroke patients

    SUI Xiao-liang,ZHANG Li-jun,DIAO Ying-bin.

    Daqing Oilfield General Hospital,Daqing 163000,China

    【Abstract】 Objective To study the effect of early rehabilitation intervention on neurological deficits,motor function and activities of daily life abilities in stroke patients.

    Methods 106 patients with acutes stroke were allocated randomly into 2 groups:rehabilitation group and control group.The patients in the rehabilitation group were treated comprehensive rehabilitation regimen including the clinical treatment,Bobath technique,PNF technique and neuromuscular stimulation therapy.The patients in the control group were treated with medications.Neurological deficits,motor function and ADL of all the patients were assessed before and after 28 days of rehabilitation intervention.Results The neurological deficits cores were reduced,while the scores of motor function and ADL were increased after therapy in the two groups(P<0.05).The difference in the two groups after therapy was significant(P<0.01). ......