文章摘要
尚翠侠,李强,刘珊珊,侯海涛.急性脑卒中患者早期康复的临床研究[J].中华物理医学与康复杂志,2003,(10):.-
急性脑卒中患者早期康复的临床研究
  
DOI:
中文关键词: 急性脑卒中  早期康复  神经功能缺损  平衡功能  运动功能  ADL
英文关键词: Acute stroke  Early rehabilitation  Neurological deficits  Equilibrium function  Motor function  ADL
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作者单位
尚翠侠,李强,刘珊珊,侯海涛 710061西安西安交通大学第一医院康复医学科(尚翠侠、刘珊珊、侯海涛)心理科(李强) 
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中文摘要:
      目的对比研究早期康复治疗对脑卒中患者发病早期的神经功能缺损程度、平衡功能、运动功能及日常生活活动能力(ADL)的影响。 方法64例急性脑卒中患者随机分为康复组及对照组,康复组采用综合疗法(包括药物治疗、Bobath疗法、PNF疗法及神经肌肉电刺激等治疗)。对照组采用药物治疗。28 d后分别评价两组患者的神经功能缺损程度、平衡功能、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,平衡功能、运动功能、ADL积分均明显增加,两组的变化均数相比,康复组优于对照组(P<0.05)。 结论急性脑卒中患者早期综合康复与药物治疗相比,在降低其神经功能缺损积分,提高平衡功能、运动功能、ADL的积分上效果更好。
英文摘要:
      Objective To study the effect of early rehabilitation intervention on neurological deficits,equilibrium function, motor function and activities of daily life abilities in stroke patients. MethodsSixty-two patients with acute stroke were allocated randomly into two groups: rehabilitation group and control group. The patients in the rehabilitation group were treated with a 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,equilibrium function,motor function and ADL of all the patients were assessed before and after 28 days of rehabilitation intervention. ResultsThe neurological deficit scores were reduced, while equilibrium function and motor function and ADL were increased after therapy in the two groups. The difference was significant (P<0.05). The scores in rehabilitation group were significantly higher than those in the control group (P<0.01). ConclusionEarly rehabilitation therapy is better than medication on reduction of neurological deficit and increase of equilibrium function,motor function and ADL for stroke patients
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