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目的探讨早期康复干预管理模式对急性脑卒中患者神经功能恢复的影响。方法将80例急性脑卒中偏瘫患者随机分成2组,即早期康复干预组40例,患者生命体征平稳48 h即在神经内科病房开始执行康复干预,行床边康复治疗,30 d后转至康复科行常规康复训练30 d;对照组40例,也在神经内科接受神经内科常规治疗及护理,30 d后转至康复科行常规康复训练30 d。所有患者均在生命体征平稳48 h(入选时)及康复系统训练30 d(转到康复科时)及转至康复科30 d给予神经功能评测,即采用简式Fugl—Meyer运动功能评测法及改良Barthel指数(MBI)以评定患者的运动功能及ADL评分。结果两组患者在康复系统训练30和60 d后运动功能及ADL评分均有明显改善,早期康复干预组的治疗效果明显优于对照组(P<0.01)。结论早期康复干预可促进急性脑卒中患者运动功能的康复,提高日常生活活动能力及生存质量。
Objective To investigate the effect of early rehabilitation intervention on neurological function in patients with acute stroke. Methods Eighty patients with acute stroke were randomly divided into two groups: 40 patients in early rehabilitation intervention group. The patient’s vital signs were stable for 48 hours, that is, rehabilitation intervention was carried out in neurological ward, and bedside rehabilitation was performed. After 30 days, The routine rehabilitation training for 30 days was performed in the department of medicine; 40 cases in the control group were also treated routinely in neurology department in the department of neurology and 30 days after routine rehabilitation training in rehabilitation department after 30 days. All patients were assessed with neurological function at 48 h after the vital signs were stable (at the time of selection), 30 days after the rehabilitation system was trained (when transferred to the rehabilitation department), and 30 days after the rehabilitation to the rehabilitation department. The simple Fugl-Meyer motor function test The Barthel Index (MBI) was modified to assess the patient’s motor function and ADL score. Results The motor function and ADL scores of both groups were significantly improved after 30 and 60 days of training in rehabilitation system. The therapeutic effect of early rehabilitation intervention group was significantly better than that of control group (P <0.01). Conclusion Early rehabilitation intervention can promote the recovery of motor function in patients with acute stroke and improve the activities of daily living and quality of life.