实用临床医学
實用臨床醫學
실용림상의학
Practical Clinical Medicine
2014年
11期
4-6
,共3页
邢九冬%魏礼梅%梅远伦%刘春%孙其涛
邢九鼕%魏禮梅%梅遠倫%劉春%孫其濤
형구동%위례매%매원륜%류춘%손기도
急性脑梗死%康复%治疗效果
急性腦梗死%康複%治療效果
급성뇌경사%강복%치료효과
acute cerebral infarction%recovery%therapeutic efficacy
目的：研究早期康复治疗对改善急性脑梗死患者的运动功能、日常生活活动能力以及预防并发症发生的影响。方法对入选的78例患者按随机数字表法分成康复组（40例）、对照组（38例），2组患者均采取常规治疗，康复组在此基础上给予康复干预，观察2组患者的治疗效果。用简化Fugl-Meyer运动功能评分和日常生活活动能力改良的Barthel指数对康复组、对照组在入院时和治疗1个月后分别进行量化评分，以及并发症发生情况统计。结果康复组、对照组在入院治疗前和治疗1个月后简化Fugl-Meyer运动功能评分分别为：（27.8±6.7）和（53.2±10.8）、（27.0±5.8）和（46.7±6.9）分；日常生活活动能力改良的 Barthel 指数评分分别为：（29.6±7.2）和（63.1±12.7）、（30.1±6.2）和（51.4±8.6）分，2组治疗前后经统计学检验差异均有统计学意义（P<0.05），且治疗后康复组优于对照组（P＜0.05）。2组并发症发生率分别为：5.0%和15.8%，但经检验差异无统计学意义（P>0.05）。结论早期康复治疗有助于促进急性脑梗死患者神经功能的恢复、提高患者的生活质量。且积极的早期康复治疗有可能减少并发症的作用。
目的：研究早期康複治療對改善急性腦梗死患者的運動功能、日常生活活動能力以及預防併髮癥髮生的影響。方法對入選的78例患者按隨機數字錶法分成康複組（40例）、對照組（38例），2組患者均採取常規治療，康複組在此基礎上給予康複榦預，觀察2組患者的治療效果。用簡化Fugl-Meyer運動功能評分和日常生活活動能力改良的Barthel指數對康複組、對照組在入院時和治療1箇月後分彆進行量化評分，以及併髮癥髮生情況統計。結果康複組、對照組在入院治療前和治療1箇月後簡化Fugl-Meyer運動功能評分分彆為：（27.8±6.7）和（53.2±10.8）、（27.0±5.8）和（46.7±6.9）分；日常生活活動能力改良的 Barthel 指數評分分彆為：（29.6±7.2）和（63.1±12.7）、（30.1±6.2）和（51.4±8.6）分，2組治療前後經統計學檢驗差異均有統計學意義（P<0.05），且治療後康複組優于對照組（P＜0.05）。2組併髮癥髮生率分彆為：5.0%和15.8%，但經檢驗差異無統計學意義（P>0.05）。結論早期康複治療有助于促進急性腦梗死患者神經功能的恢複、提高患者的生活質量。且積極的早期康複治療有可能減少併髮癥的作用。
목적：연구조기강복치료대개선급성뇌경사환자적운동공능、일상생활활동능력이급예방병발증발생적영향。방법대입선적78례환자안수궤수자표법분성강복조（40례）、대조조（38례），2조환자균채취상규치료，강복조재차기출상급여강복간예，관찰2조환자적치료효과。용간화Fugl-Meyer운동공능평분화일상생활활동능력개량적Barthel지수대강복조、대조조재입원시화치료1개월후분별진행양화평분，이급병발증발생정황통계。결과강복조、대조조재입원치료전화치료1개월후간화Fugl-Meyer운동공능평분분별위：（27.8±6.7）화（53.2±10.8）、（27.0±5.8）화（46.7±6.9）분；일상생활활동능력개량적 Barthel 지수평분분별위：（29.6±7.2）화（63.1±12.7）、（30.1±6.2）화（51.4±8.6）분，2조치료전후경통계학검험차이균유통계학의의（P<0.05），차치료후강복조우우대조조（P＜0.05）。2조병발증발생솔분별위：5.0%화15.8%，단경검험차이무통계학의의（P>0.05）。결론조기강복치료유조우촉진급성뇌경사환자신경공능적회복、제고환자적생활질량。차적겁적조기강복치료유가능감소병발증적작용。
Objective To investigate the effects of early rehabilitation treatment on motor functions, activities of daily living and complications in patients with acute cerebral infarction. Methods A total of 78 patients were randomly given conventional treatment alone (control group, n=38) or in combination with rehabilitation intervention (rehabilitation group, n=40). The therapeutic efficacies were evaluated and complications were observed in both groups. The motor functions and activities of daily living were assessed by the simplified Fugl-Meyer score and the modified Barthel index on admission to hospital and at 1 month after operation, respectively. Results The simplified Fugl-Meyer score was 27.8±6.7 on admission to hospital and 53.2±10.8 at 1 month after operation in rehabilitation group, and 27.0±5.8 on admission to hospital and 46.7 ±6.9 at 1 month after operation in control group. The modified Barthel index was 29.6±7.2 on admission to hospital and 63.1±12.7 at 1 month after operation in rehabilitation group, and 30.1±6.2 on admission to hospital and 51.4±8.6 at 1 month after operation in control group. The motor functions and activities of daily living were significantly improved after treatment in both groups (P<0.05). Compared with control group, both the simplified Fugl-Meyer score and the modified Barthel index were significantly increased in rehabilitation group (P<0.05).The incidence of complic-ations was 5.0% in rehabilitation group and 15.8% in control group. However, the difference in the incidence of complications was not significant between the two groups (P>0.05). Conclusion Early rehabilitation treatment can promote the recover of nerve function, improve the quality of life and reduce the incidence of complications in patients with acute cerebral infarction.
