摘要
目的探讨早期康复训练对脑梗死偏瘫患者功能恢复的影响.方法选取该院2018年4月—2020年5月收治的144例脑梗死患者为研究对象,根据康复训练开始时间分成早期组与对照组,每组72例.早期组于生命体征稳定、神经科症状体征不再进展48 h后开始康复训练,对照组则于对症治疗14 d后开始康复训练.观察比较两组康复效果.结果干预前,两组患者的上下肢Fugl-Meyer运动功能评分(Fugl-Meyer assessment,FMA)、改良爱丁堡斯堪的那维亚脑卒中量表评分(the modified Edinburgh-Scandinavian stroke scale,MESSS)与日常生活活动能力评分(activity of daily living,ADL)比较,组间差异无统计学意义(P>0.05);干预后,早期组患者的上下肢FMA评分、MESSS评分与ADL评分均优于对照组,组间差异有统计学意义(P<0.05).结论脑梗死偏瘫患者早期接受康复训练,可明显改善其运动功能、神经功能与生活能力,整体效果显著,值得在临床中推广与应用.
Objective To explore the effect of early rehabilitation training on the functional recovery of patients with cerebral infarction and hemiplegia.Methods A total of 144 patients with cerebral infarction admitted to the hospital from April 2018 to May 2020 were selected as the research objects.According to the start time of rehabilitation training,they were divided into an early rehabilitation group and a control group,with 72 cases in each group.The early group started rehabilitation training 48 hours after the vital signs were stable and the neurological symptoms and signs no longer progressed,and the control group started rehabilitation training 14 days after the symptomatic treatment.The rehabilitation effects of the two groups were observed and compared.Results Before the intervention,there were no significant differences in the Fugl-Meyer motor function score(FMA),the modified Edinburgh-Scandinavian stroke scale score(MESSS)and the activity of daily living score(ADL)between the two groups of patients(P>0.05);after the intervention,the FMA score,MESSS score and ADL score of the upper and lower limbs of the patients in the early group were better than those of the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion Early rehabilitation training for patients with cerebral infarction and hemiplegia can significantly improve their motor function,neurological function and life ability.The overall effect is significant,and it is worthy of clinical promotion and application.
作者
范琳琳
滕继军
FAN Linlin;TENG Jijun(The Affiliated Hospital of Qingdao University,Qingdao Shaodong,266003,China;People's Hospital of Gaomi,Gaomi Shandong,261500,China)
出处
《反射疗法与康复医学》
2021年第4期136-138,共3页
Reflexology And Rehabilitation Medicine
关键词
脑梗死
偏瘫
早期康复训练
功能恢复
康复效果
Cerebral infarction
Hemiplegia
Early rehabilitation training
Functional recovery
Rehabilitation effect
