摘要: |
【】 目的:对比研究康复治疗在不同时间节点干预缺血性脑卒中患者的疗效、预后。方法: 87例患者随机分为2d康复训练组和14d康复训练组。嘱病人及家属都须按要求进行训练。在入组时及发病3个月后分别进行统计量表。结果:3个月后2d组NIHSS、Fugl-Meyer运动功能、Barthel指数评定量表、汉密尔顿抑郁量表等评分值分别为9.72±5.37、65.21±13.27、76.87±12.68、29.06±11.48, 14d组分别为12.14±2.76、52.67±14.28、62.85±11.69、34.23±5.43,两组预后相比3个月后2d组比14d组有明显改善,P<0.05。结论:对于缺血性脑卒中患者,更早的康复治疗,增加了患者的肢体运动功能、日常生活能力,使患者受益,减轻了患者的抑郁。 |
关键词: 脑卒中 早期康复训练 肢体运动功能 日常生活活动能力 心理 |
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A clinical study of rehabilitation training beginning at different times for patients with ischemic stroke |
Li yong ping,Gao yang
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JiangSu yancheng maternity and child care hospital
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Abstract: |
Objective: Compare the effects of rehabilitation therapy on patients with ischemic stroke in different periods. Methods: 87 patients were randomly divided into 2d Rehabilitation Training Group and 14d Rehabilitation Training Group. The patients are trained as requested. Data were collected at the beginning and 3 months later respectively. Results: After 3 months, for the 2d Rehabilitation Training group, the score of NIHSS, FUGL-Meyer motor function, Barthel Index rating scale, Hamilton Depression scale are 9.72 ± 5.37, 65.21 ± 13.27, 76.87 ± 12.68, 29.06±11.48 respectively. Those for the 14d Rehabilitation Training group are 12.14 ± 2.76, 52.67 ± 14.28, 62.85 ± 11.69, 34.23 ±5.43 respectively. The 2d Group’s effects of rehabilitation therapy were more significant compared with the 14d group after 3 months (P<0.05). Conclusion: For patients with ischemic stroke, the earlier the rehabilitation therapy is employed, the more benefits patients may have on limb motor function and their self-care ability for daily life, which may decrease patients’ symptoms of depression. |
Key words: stroke early rehabilitation training limb motor function activity of daily life psychology |