文章摘要
周宁,陆敏.早期康复治疗对脑梗死偏瘫患者功能恢复的影响[J].中华物理医学与康复杂志,2004,(12):
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早期康复治疗对脑梗死偏瘫患者功能恢复的影响
  
DOI:
中文关键词: 脑梗死  早期康复  评定
英文关键词: Cerebral infarction  Early rehabilitation  Evaluation
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作者单位
周宁,陆敏 430030武汉华中科技大学同济医学院附属同济医院康复医学科 
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中文摘要:
      目的探讨早期康复对脑梗死偏瘫患者功能恢复的影响。 方法将42例脑梗死偏瘫患者随机分为2组(康复组及对照组),康复组患者在常规内科治疗的基础上,于发病1周内生命体征稳定时进行系统康复训练,而对照组患者仅给予常规内科治疗,不进行系统、正规的康复训练。采用脑卒中病损评估法(Stroke Impairment Assessment Set,SIAS)对患者治疗前、后的疗效进行评定。 结果康复组患者运动功能、肌张力、关节活动范围(ROM)、疼痛、躯干控制能力及健侧肢体功能均明显优于对照组(均P<0.01)。 结论早期康复治疗对脑梗死偏瘫患者的功能恢复具有显著促进作用。
英文摘要:
      Objective To study the effect of early rehabilitation on motor function of hemiplegic patients after cerebral infarction. MethodsForty-two patients were divided into two groups randomly: a rehabilitation group and a control group. Both groups were given the same internal medical treatment to stabilize the patients conditions in the early stage. In addition, the patients in the rehabilitation group were given early formal rehabilitation training, while those in the control group were given no formal rehabilitation training. The results of therapy were assessed by using SIAS method (Stroke Impairment Assessment Set). ResultsAs shown by the SIAS result, the scores of motor function, muscle tone, range of motion (ROM), pain, trunk control and function on the unaffected side in the rehabilitation group were significantly better than those in the control group (all P<0.01). ConclusionEarly rehabilitation could significantly improve the functions of hemiplegia patients after cerebral infarction.
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