CAJ | 학술논문

目的观察早期康复对经静脉溶栓治疗的脑卒中后偏瘫患者运动功能的影响.方法选择经静脉阿替普酶(rtPA)溶栓治疗的脑卒中偏瘫患者36例,按随机数字表法分为早期康复组(病程＜3d)和对照组(病程3～7 d),每组18例.2组患者均经静脉rtPA溶栓治疗后行2周的康复治疗.于治疗前、治疗2周后(治疗后)和治疗后第3个月(随访时)分别对2组患者行上、下肢运动功能评分(FMA)和日常生活活动(ADL)评分[改良Barthel指数(MBI)].结果治疗后和随访时,2组患者上、下肢FMA和MBI评分较组内治疗前均显著提高,差异均有统计学意义(P＜0.05);且治疗后,早期康复组的下肢FMA和MBI评分分别为(23.33±4.37)分和(56.11 ±22.27)分,与对照组治疗后的(17.06 ±4.70)分和(40.00±15.81)分比较,差异均有统计学意义(P＜0.05).结论早期康复可促进经静脉溶栓治疗的脑卒中后偏瘫患者近期下肢运动功能和ADL能力的恢复.
목적 관찰조기강복대경정맥용전치료적뇌졸중후편탄환자운동공능적영향.방법 선택경정맥아체보매(rtPA)용전치료적뇌졸중편탄환자36례,안수궤수자표법분위조기강복조(병정＜3d)화대조조(병정3～7 d),매조18례.2조환자균경정맥rtPA용전치료후행2주적강복치료.우치료전、치료2주후(치료후)화치료후제3개월(수방시)분별대2조환자행상、하지운동공능평분(FMA)화일상생활활동(ADL)평분[개량Barthel지수(MBI)].결과 치료후화수방시,2조환자상、하지FMA화MBI평분교조내치료전균현저제고,차이균유통계학의의(P＜0.05);차치료후,조기강복조적하지FMA화MBI평분분별위(23.33±4.37)분화(56.11 ±22.27)분,여대조조치료후적(17.06 ±4.70)분화(40.00±15.81)분비교,차이균유통계학의의(P＜0.05).결론 조기강복가촉진경정맥용전치료적뇌졸중후편탄환자근기하지운동공능화ADL능력적회복.
Objective To observe the effects of early rehabilitation on the motor function of post-stroke hemiplegic patients treated with intravenous thrombolysis.Methods Thirty-six post-stroke hemiplegic patients after intravenous thrombolysis with rtPA were recruited in this study.They were randomly divided into the early rehabilitation group (with the course less than three days) and the control group (with the course between three and seven days),18 cases in each group.Both group received a two-week rehabilitation programme.They were assessed using the Fugl-Meyer assessment (FMA) of up extremity,FMA of lower extremity and ADL score (modified Barthel index,MBI) before and after treatment,as well as at the 3rd month after treatment (during the following-up).Results After treatment and at the following-up,FMA scores of up extremity,FMA scores of lower extremity and MBI scores had improved significantly compared with before treatment in both groups.Furthermore,after treatment,in the early rehabilitation group the average FMA score of lower extremity and MBI score reached (23.33 ± 4.37) and (56.11 ± 22.27) respectively,significantly higher than those of the control group [(17.06 ± 4.70) and (40.00 ± 15.81) respectively].Conclusion Early rehabilitation contributes to short-term recovery of lower extremity motor function and ability in the activities of daily living in post-stroke hemiplegic patients after intravenous thrombolysis.