[摘要] 目的 观察早期康复训练结合补钙对脑梗死偏瘫患者骨密度水平和神经功能的影响。方法 选择在我科住院的起病后7天内入院的180例脑梗死偏瘫患者，随机分为对照组和试验组，两组在进行常规药物治疗的基础上对照组早期进行康复训练，试验组早期进行康复训练和补钙处理，两组分别于入院后第二天和治疗后4周进行骨密度水平(BMD)和神经功能缺损(NIHSS)测定，两组治疗前后进行比较，以及治疗后两组之间进行比较，采用SPSS 11.0统计学软件进行统计分析，以P<0.05为差异有显著性作为判断标准。结果 对照组治疗前后骨密度水平比较差异无显著性(P>0.05)，神经功能缺损评分较治疗前降低，两者比较差异有显著性(P<0.05)；试验组的骨密度水平和神经功能缺损治疗前后比较差异均有非常显著性(P<0.001)。两组治疗后骨密度水平和神经功能缺损比较差异有非常显著性(P<0.001)。 结论 对脑梗死偏瘫患者早期康复训练结合补钙，可明显提高患者的骨密度水平，降低卒中后骨质疏松的发生率，促进患者神经功能的恢复。

    [关键词] 脑梗死；康复训练；骨密度；神经功能

    Effect of rehabilitation therapy combined with calcium supplementation on the bone mineral density and the neural function of hemiparesis patients with cerebral infarction

    LIU Chuan-zhen,DING Xiao-gang, ZHANG Qi-mei,et al.

    Department of Neurology ,Yichang Central Hospital,the First Affiliated Hospital of Three Gorges University ,Yichang 443000，China

    [Abstract] Objective To study the effect of rehabilitation training combined with calcium supplementation on the bone density (BMD) and the neural function of hemiparesis patients with cerebral infarction.Methods 180 hemiparesis patients with cerebral infarction,who were treated in our department in 7 days after stroke,were divided into 2 groups randomly. All patients were treated by routine medicine, after the first experiment group treated by rehabilitation training in the early stage, the second experiment group treated by rehabilitation training in the early stage combined with calcium supplementation. The bone density (BMD) and the National Institute of Health Stroke Scale (NIHSS) of 2 groups were assessed 2 days and 4 weeks after the treatment. Compare the two groups before and after treatment,respectively,and the two groups after treatment. The data was analyzed with SPSS 11.0 software, and P<0.05 singed if they have obvious differences.Results Before and after treatment, BMD level of rehabilitation group were not significantly different (P>0.05) .The NIHSS of neuralgic impairmentis lower after treatment than that before treatment, the difference is statistically significant (P<0.05).The NIHSS and BMD of the group treated by rehabilitation training in the early stage combined with calcium supplementation were significantly different (P<0.001).The NIHSS of the group treated by rehabilitation training in the early stage combined with calcium supplementation is the best after 4-week treatment (P<0.001).Conclusion It will obviously add the BMD , decline the osteoporosis incidence rate after stroke and promote the recovery of NIHSS for hemiparesis with cerebral infarction patients supplementation treated by rehabilitation training combined with calcium supplementation in the early stage. ......