摘要
目的:探讨早期综合康复治疗对急性脑卒中偏瘫老年患者上下肢功能及日常生活能力(ADL)的影响。方法:选择急性脑卒中偏瘫老年患者96例,抽签随机分为康复组和对照组(每组48例)。康复组在临床药物+针灸治疗的同时进行正规的康复训练,对照组给予临床药物+针灸治疗及未经指导的自我锻炼。分别于入选治疗前24h及治疗后三四周进行Fugl-Meyer积分、Barthel指数(BI)、神经功能缺损(CNS)评定。结果:经三四周治疗后,康复组Barthel指数(73.63±20.33)分,CNS为(15.32±12.79)分,较治疗前(33.32±12.06),(32.24±12.45)分显著改善,与对照组治疗后犤(48.23±16.22),(23.56±15.36)分犦比较,差异有非常显著性意义(t=9.57,-2.87,P<0.001)。康复组Fugl-Meyer上、下肢评分较对照组明显改善(P<0.01)。结论:急性脑卒中偏瘫老年患者进行早期综合康复治疗,能明显改善肢体运动功能、提高日常生活能力,提高老年病人的生活质量。
AIM:To study the role of early rehabilitation in motor function of upper and l ower extremities and activities of daily living(ADL) for the patients with hemip legia after stroke. METHODS:Totally 96 patients were randomly assigned into rehabilitation group(n =48) and control group(n=48).Patients in the rehabilitation group were given cli nical drugs,acupuncture and regular rehabilitation training,while those in the c ontrol group were given drugs,acupuncture and unguided self-training.Fugl-Meye r assessment(FMA),Barthel index(BI) and clinical nerve those function limitation score(CNS)were made 24 hours before treatment and 3-4 weeks after treatment. RESULTS:After 3-4 weeks of treatment, the scores of BI(73.63±20.33) and CNS( 15.32±12.79) had a significant improvement in the rehabilitation group as compa red with those before treatment[(33.32±12.06),(32.24±12.45)],and those in the control group(48.23±16.22 and 23.56±15.36)(t=9.57,-2.87,P < 0.001) .FMA in th e upper and lower limbs showed a significant difference between the two groups(P < 0.01). CONCLUSION:Early rehabilitation training for the elderly with post-stroke hem iplegia may obviously improve their motor function of limbs,and promote their AD L and quality of life.
出处
《中国临床康复》
CSCD
2004年第13期2404-2405,共2页
Chinese Journal of Clinical Rehabilitation
