摘要
目的:探讨评定时期不同而Brunstrom分期相同的脑卒中患者的预后,并分析其原因。方法:选纳118例早期脑卒中患者,均进行Brunstrom评定,将下肢功能处于Brunstrom Ⅲ期的患者38例作为A组;剩下的80例1个月后再次评定,并将其中评定为Brunstrom Ⅲ期的患者34例作为B组。2组患者均在病情稳定(<2周)时均配合进行康复训练治疗。治疗6个月后2组再行Brunstrom末期评定,了解下肢功能恢复情况,并加以分析。结果:治疗6个月后,A组Brunstrom评分达Ⅵ期的患者比例率明显高于B组(47.5%与8.8%,P<0.01)。结论:Brunstrom Ⅲ期出现得越早,恢复潜力越大,预后越理想。
Objective：To investigate the prognosis of stroke patients with the same lower extremities Brunnstrom stage in different evaluation periods.Methods：118 stroke patients were evaluated with Brunnstrom stages.Thirty-eight patients with lower extremities at Brunnstrom stage Ⅲ were chosen as group A,while the rest 80 patients accepted the assessment again after 1 month.Thirty-four patients with lower extremities at Brunnstrom stage Ⅲ were reselected as group B.The patients in both two groups were treated with rehabilitation training with stable condition（2 weeks）.All the patients received evaluation of Brunnstrom stages after rehabilitation treatments for 6 months.Results：After rehabilitation treatments for 6 months,the proportion of patients in group A with lower extremities at Brunnstrom stage Ⅳ was higher than that in group B（47.5% vs.8.8%,P0.01）.Conclusion：The stroke patients with lower extremities at Brunnstrom stage Ⅲ in earlier period had more promising recovery and prognosis.
出处
《中国康复》
2011年第1期20-21,共2页
Chinese Journal of Rehabilitation
基金
重庆市重点学科基金资助项目(No.2008-47)
作者简介
龚泽辉（1983-）,男,医师,主要从事康复医学方面的研究.
通讯作者：王义亮，主任医师。
