| 朱满连 卢舜飞 潘大津 江类来 程英.急性脑卒中患者早期康复治疗对比研究[J].实用中西医结合临床,2007,(2):3-4 |
| 急性脑卒中患者早期康复治疗对比研究 |
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| DOI： |
| 中文关键词: 急性脑卒中 早期康复 疗效评定 |
| 英文关键词: Acute Stroke Early rehabilitation Efficacy |
| 基金项目:浙江省丽水市科技项目（编号：2004419） |
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| 摘要点击次数: 658 |
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| 中文摘要: |
| 目的：探讨早期康复对急性脑卒中患者临床神经功能缺损程度及日常生活活动能力的影响。方法：对200例首次急性发病的脑卒中患者随机分为康复治疗组和对照组各100例，均进行神经内科常规药物治疗，康复治疗组于病后3~10d开始早期康复训练，每天2次，30~50min/次，第1次主要由康复医生完成，家属协助；第2次以后主要由家属完成，康复医生督促和指导，共84d。以临床日常生活能力评分、肢体运动功能（Fugl-Meyer即FMI）、肌力、FIM、神经功能缺损程度评分、Barthel指数进行治疗前后的功能评定。结果：康复治疗组治疗后神经功能缺损程度评定及日常生活活动能力评价，与对照组相比有显著性差异（P <0.05或0.01）。结论：早期康复治疗对降低急性脑卒中患者的神经功能缺损程度及促进日常生活活动能力的提高是安生有效的。 |
| 英文摘要: |
| Objective：To prove the effects on the degree of neurological impairment and the activities of daily life in patients with acute stroke during early rehabilitation. Methods：200 patients with acute stroke at the first time were randomly divided into the early rehabilitation group(100 subjects) and the control group (100 subjects). All of them received routine treatment in Neurology Department. The early rehabilitation group was treated with systematic rehabilitation training on the third to 10th day after the onset for 84 day ( 2 times per day, 30~50 minutes a time).The first training was done most by the professional physiotherapists and the second was done most by the families with the help of the physiotherapists. Activities of daily life(ADL), Fugl-Meyer, Myodynamia, FIM, Edinburgh-Scandinavian Scoring Scale(SSS) and Barthel index were employed to evaluate the functions between two groups. Results：The evaluation scores of SSS and ADL in early rehabilitation group were significantly more effective than control group. There were significant difference between two groups after treatment (P <0.05 or 0.01). Conclusion：The early rehabilitation training is very effective and safe for relieving neurological impairment and improving daily activities in patients with acute stroke. |
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